Membership Application - Oceanside Chamber of Commerce

 

The Chamber has numerous membership benefits packages to choose from. To find the package that fits best for your business, please download our membership benefits/application form.

To schedule an appointment with one of our membership representatives, please call the Chamber Office at 760-722-1534.
   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Number of Full Time Employees (including owners):  
Number of Part Time Employees:  
      Check here if home-based and do not want address listed in our web or printed directory
Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Mailing Address (if different)
Street
City
State
Zip
Additional Information
Referred by (if applicable)
How did you hear about us?
What is your reason for joining?
I would like to receive communications on the following
*Check all that apply
Advocacy & Issues
Business Education Resources
Business Promotion (Social Media/Advertising)
Community Outreach & Involvement
Education & Workforce Development
Military Outreach
Networking & Business Connections
Oceanside Young Professionals Network (OYPN)
Other           
In Order to keep you informed on relevant issues, events and opportunities, please check all that apply:
*Check all that apply
Minority Owned
Veteran Owned
Women Owned
Membership Investment
Choose Your Annual Membership Level: *
Primary Directory Category *
Additional Directory Categories
  • Primary Directory listing is complimentary
  • Additional listings are $50 each
**Hold CTRL on your keyboard to select multiple categories**
For all membership levels other than Micro-Enterprise, email your extra category choice to emerald@oceansidechamber.com so you won't be charged for it.
   
$ 
$ 
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
MembershipType
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card Address 2
Credit Card City
Credit Card State
Credit Card Zip
Credit Card ZipExt
Credit Card Phone Number
Credit Card Country
Credit Card Email Address
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