Join the Boca Chamber Today!

HOME | CONTACT | JOIN | MEMBER LOGIN

Connect with Us:

To download a PDF version of this application click here.

Organization Information (to be displayed online)

Organization Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Fax

Website

Email *

Main Contact

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Title

Phone *

Email *

Additional Contacts

Billing Address (if different)

Street

City

State

Zip

Mailing Address (if different)

Street

City

State

Zip

Additional Information

Referred by

How did you hear about us?

What is your reason for joining?

Please have someone contact me regarding

*Check all that apply
Business Resources
Community Involvement
Cost Savings Programs (Insurance, Office Supplies, Worker's Compensation)
Economic Development
Government Relations
Networking

Other

Membership Investment

Membership Type: *

Primary Directory Category *

Additional Directory Categories

Primary Directory listing is complimentary
Additional Directory listings are $25 each

**Hold CTRL on your keyboard to select multiple categories**

Number of Full Time Employees:

Number of Part Time Employees:

Number of Units:

Million Square Feet:

Millions in Assets (Financial Institutions):

Annual Membership Investment

Additional Categories Cost

One-Time Application Fee

Tax

Total: $

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost

Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)

tempValueForDropDown1

Number of Seats (Restaurants):
Number of Associates (Realtors, Attorneys):
Enhanced Membership ($50):
Payment Type *
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

Credit Card Information

Credit Card Type * MastercardVisaDiscoverAmex

Credit Card Number *

Name On Card
Security Code
Valid Through
	Use Address Above
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address

Please click submit only one time. The transaction may take several seconds.

Membership investment is payable in advance and, non-refundable and continuous unless you present written notification to the contrary. It is also intended to assist in the determination of an equitable investment in the Boca Chamber and is effective through October 31,2020. Non-Profit Organizations pay the minimum investment of $460 plus a one-time administrative fee of $35. For more information, you can email our Membership Development Manager, Alison Miuccio at [email protected].