Chamber Membership

Thank you, folr your membership to COSC.

New Membership

Please select the level of membership your chamber qualifies for.

Level 1. Small Chamber (less than $3M)

Level 2. Medium Chamber ($3M to $4.9M)

Level 3. Large Chamber ($5M+)

	Small Chamber (contribute at least $ 750.00 to be eligible for this membership)
	Medium Chamber (contribute at least $ 900.00 to be eligible for this membership)
	Large Chamber (contribute at least $ 1,200.00 to be eligible for this membership)
	(Your initial membership fee will be processed once you complete the confirmation step. You will be able to cancel automatic renewals at any time by logging in to your account or contacting us.)

Contribution Amount *

$ 750.00 Small Chamber (less than $3M)
$ 900.00 Medium Chamber ($3M to $4.9M)
$ 1,200.00 Large Chamber ($5M+)

[x] I will send payment by check

Email Address *

Organization Details

Organization Name *

Primary Phone

Primary Email

Street Address

Street number, street name, apartment/unit/suite - OR P.O. box

Addt'l Address 1

Supplemental address info, e.g. c/o, department name, building name, etc.

Addt'l Address 2

City

Zip / Postal Code

-
Enter optional 'add-on' code after the dash ('plus 4' code for U.S. addresses).

Country

State / Province

Please enter a user name to create an account . If you already have an account, please login before completing this form.

Username *	Check Availability Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
Password
Confirm Password	Provide a password for the new account in both fields.

Contact Information

First Name

Middle Name

Last Name

Phone (Main) *

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