Member Application Business Information Company Name: * Leave Blank: Phone: * Directory Category: --- Select Primary Category --- Accounting/Tax Preparation Advertising/Marketing Air Conditioning Air Sanitizing Appliance Repair Appliance Sales Appliance, Furniture & Electronics Leasing Arena Football Attorneys Auto Claims Management Services Auto Parts Automotive Detailing/Car Wash Automotive Sales/Service/Tires Bait & Tackle Banks/Financial Institutions Beauty Beauty Salon/Barber/Spas Beverage Sales Bingo Bowling Building Supplies Business Services Cabinets- Custom Build Campgrounds/RV Carpet/Floor Cleaning Casino Catering Cell Phone Sales Chiropractors Citizen Clinical Lab Clothing Consignment Coffee- Retail Coffee-Retail College Computer Network Support & Services Computer Repair Computer Services/Sales Consultants Contractors/Construction Management Copier Sales & Service Day Care Dental Directories & Publications DJ / Musician Dry Cleaning/Laundry Services Electrial Contractor Engine Machine Shop Entertainment/Tourism Financial/Investment Services Fire Protection Flea Market/Antiques Flooring: Carpet/Tile/Wood Florist Funeral & Cremation Services Furniture Golf Cart Sales & Service Golf Courses/Country Clubs Golf Supplies and Lessons Government Grocery Stores Health & Fitness Hearing Center Home Health Home Improvement Home Improvement/Handyman Services Home Inspections Hotels/Motels Identity Theft Protection Insurance Interior Design/Decorating Irrigation Jewelry: Gemstone Settings/Mountings Landscaping/Tree Services Lawn Care and Maintenance Locksmiths Mail Services/Shipping Manufactured Home Broker Manufactured/Mobile Home Communities Manufacturing & Production Marina / Dry Storage Marine Contractor Marine Parts Massage Therapy Medical Supply Moving Company Musical Instruments Musicians/Music Lessons Nail Salons Non Profit Organization Non Profit Organization/Churches Non Profit Organization/Libraries Non Profit Organization/Schools Notary Services Nursery/Trees/Plants Office Supplies/Furniture Ophthalmologist Optical Services Optometrist Pawn Shop Payroll Services/Human Resources Personal/Concierge Services Pest Control Pet Care/Grooming Pharmacy Photography Plumbing Podiatrist Pool Services Press/Radio Primary Care Printing Services/Graphic Design Private Detective Services Property Management Real Estate/Commercial Real Estate/Residential Rental Services Restaurants Restoration Services: Fire/Water Retirement Communities Roofing Installation & Repairs RV & Mobile Home Repairs Seafood Market Seafood Restaurant Security Senior Care/Services Shopping/Retail Store Signs/Banners/Awards/Trophies Smoke Shop Special Events & Wedding Venue Special Events & Wedding Venue Storage Units Taxi Cab/Limousine Services Textile Printer Theatre/Entertainment Title Services Travel Agencies Utilities:/Cable/Phone/Water/Garbage Veterinary Clinic Video & Multimedia Production Website Design Wellness Consultant Wholesale Clubs/Food/Beverage Employees: Full-time Part-time Comments / Questions: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: Line 2: City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Membership Options Payment Option: Bill me Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of North Fort Myers Chamber of Commerce. I grant North Fort Myers Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application