Request Information about Membership



 

Company Name *  
Contact Title  
Contact Name (First & Last) *  
Contact Phone  
Contact Fax  
Contact Email Address *  
Business/Organization Type *  
Website  
Number of Full-Time Employees (within 25-mile radius of Frederick County)  
Number of Part-Time Employees (<32 hrs/wk)  
Business Street Address 1 *  
Business Street Address 2  
Business City *  
Business State *  
Business Zip Code *  
Reason for Joining
Networking
Marketing/Advertising/Sponsorship
Advocacy and Government Affairs
Education & Professional Development
Community Involvement
Generation Connect
Leadership Frederick County
Energy Purchasing Co-Op
Other           
How Did You Hear About The Chamber?
If you were referred by a Chamber representative or Chamber member, who referred you?


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Frederick County Chamber of Commerce