| 
 
Registration
* This Field is required Required field | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon
__________________________________________________________________ This form has a dual purpose: If you are a current member of the Chamber, but are NOT listed on this website, use this form to be entered into our new database and to get listed on this site. If you are NOT a member, this is your new member application. __________________________________________________________________
Subscription Plan:
1 year for $ 150.00.
1 year for $ 285.00.
1 year for $ 325.00.
1 year for $ 395.00.
1 year for $ 495.00.
1 year for $ 595.00.
1 year for $ 795.00.
1 year for $ 230.00.
Lifetime Subscription for $ 25.00.
* This Field is required Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required
* This Field is required
* This Field is required
* This Field is required
* This Field is required Information for: Address : Enter the street address of your business. If your business has more than one location, this should be a location that you can receive mail.
* This Field is required
* This Field is required
* This Field is required
* This Field is required
Information for: Cell Phone : This phone number will <span style="text-decoration: underline;">only</span> be displayed in your member profile and in the Member Directory to other members of the Chamber.
Information for: Home Phone (Private) : This phone number <span style="text-decoration: underline;">will not be shown</span> in the "Member Directory" and is only used for your membership records.<br />
* This Field is required Information for: Best Contact # : Which is the best contact number to call you on?
* This Field is required Information for: Email : Please make sure you enter a valid e-mail address including the extension (e.g., ".com", ".net", etc...)
Information for: Website : Enter the website address for your business, this is NOT your e-mail address. (e.g., www.mysite.com)  If you do not have a website simply enter "N/A".
* This Field is required Information for: Products & Services : Please list up to 10 products and/or services that you offer. List one item per line please.
* This Field is required Information for: Business Description : A short blurb (600 characters max) about what your business is all about.
* This Field is required Information for: Business Category : Please select the category that you wish your business to be listed under in the Chamber directory. You may pick only one category.
Please double check all of your information that you entered above. If you have any trouble with this registration process please contact the website administrator via the "Contact Us" tab at the top of this page.
* This Field is required Required field | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon

Events Calendar

«
<
March 2010
>
»
M T W T F S S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31 1 2 3 4
«
<
April 2010
>
»
M T W T F S S
29 30 31 1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 1 2

Coming Up...

View Full Calendar
Thu Mar 11 @12:00PM - 01:30PM
CC Chamber Luncheon
Wed Mar 24 @05:30PM - 07:00PM
CC Chamber NN Event

Contact Us

For general chamber info please contact:

Ann Marie Poropat
CCCC Executive Assistant
954-419-1050 
creekchamber@bellsouth.net

Member Advertisements

Al_Hendrickson_ad lifepubs_12-09_web
© Copyright 2010 Coconut Creek Chamber of Commerce · Sitemap