Member Application

NOTE: IF YOU ARE ATTEMPTING TO JOIN THE COASTAL YOUNG PROFESSIONALS NETWORK, PLEASE COPY AND PASTE INTO YOUR BROWSER: https://business.sheboygan.org/communication. Invest in your business in a way that shows immediate returns! New customers and stronger alliances with the community that supports your business are just a few of the guaranteed dividends you will realize from your Chamber membership. Annual chamber membership gives you access to an abundance of promotional, professional development and networking opportunities. Activate your Chamber membership by submitting the application below. For questions please contact Scott Kuehn, Director of Membership Development at scott@sheboygan.org or give him a call at 920-395-8705.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Step 2:

Additional Info

Business Description (800 char max)

Business Keywords (enter a space between words)

Directory Category *
Please select a directory category.

Full-time Employees *
Please add your number of full-time employees.

Part-time Employees *
Please add your number of part-time employees.

Expectations of Chamber Membership *
Looks good!

I am joining for networking opportunities

I am joining to support my community and tourism

I am joining for advertising opportunities

I am joining for professional development opportunities

I am joining for access to legislative issues

Year Est.

# of Seats (*Restaurant)

Referred by:

Women Owned Business

Veteran Owned Business

Minority Owned Business

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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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

Social Network Addresses

Create Account

Step 5:

Payment Option

Contact

Hours

Quicklinks

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