Member Application

Welcome to the Middlesex West Chamber of Commerce! Those joining now will receive membership through December 31, 2019. The amount has been pro-rated to reflect the current month's membership as such. Renewal will take place for January 2020. Please note that addresses shared here will be open to the public and could potentially be indexed in a Google search associated with your name. If you prefer not to have your home address published you may leave it empty.
Business Information
Employees: *
Physical Address

Mailing Address

Social Networking:
Primary Contact Information
Contact Preference:

Address

Billing Contact Information
Contact Preference:

Address

Membership Options
Membership Package: *
Additional Opportunities:
We will contact you with additional information.
Payment Option: