Member Application

Thank you for your interest in joining the West Hartford Chamber of Commerce. Our network includes more than 600 member businesses and organizations, with over 125 events and programs offered each year. Please complete the application below, and contact info@whchamber.com with any questions.

Step 1:

Member Info

Company Name * required

Please add your company name.

Phone * required

Please add your company phone number.

Website

Email * required

Please add a valid email.

Physical Address

Address line 1 * required

Please add your address.

Address line 2

Country * required

Please add your country.

City * required

Please add your City.

State * required

Please add your State.

Postal Code * required

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 * required

Please add your address.

Address line 2

Country * required

Please add your country.

City * required

Please add your City.

State * required

Please add your State.

Postal Code * required

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

YouTube

Instagram

GooglePlus

Step 2:

Additional Info

Business Description (200 char max) * required

Please add your company description.

Business Keywords * required (enter a space between words)

Please add your business keywords.

Directory Category * required

Please select a directory category.

Full-time Employees * required

Please add your number of full-time employees.

Part-time Employees * required

Please add your number of part-time employees.

How did you learn about the West Hartford Chamber?

Have you taken our Member Engagement Quiz? Feel free to select your results, so Chamber staff can connect you with the optimal resources (https://www.whchamber.com/member-engagement-quiz/)

Step 3:

Primary Contact

First Name * required

Please add your first name.

Last Name * required

Please add your last name.

Title

Phone * required

Please add your phone number.

Cell Phone

Fax

Email * required

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 * required

Please add your address.

Address line 2

Country * required

Please add your country.

City * required

Please add your City.

State * required

Please add your State.

Postal Code * required

Please add your Postal Code.

Create Account

Password * required

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name * required

Please add your first name.

Last Name * required

Please add your last name.

Title

Phone * required

Please add your phone number.

Cell Phone

Fax

Email * required

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 * required

Please add your address.

Address line 2

Country * required

Please add your country.

City * required

Please add your City.

State * required

Please add your State.

Postal Code * required

Please add your Postal Code.

Create Account

Password * required

Please add your login password.

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Create Account

Step 5:

Membership Package

Payment Option

FAQ

Contact Us

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