Membership Application (for testing)

All applications are subject to approval. Miami Beach Chamber of Commerce reserves the right to approve or reject any application.

Member Profile
Membership Level: *
Join Date: *
No. of Employees: *
Registered Florida Business: *
Company Name *:
Primary Contact: *
Address: *
City: *
State: *
Zip: *
Business/Industry: *
Phone: *
Fax:
Mobile: *
Email: *
Website: *
Reason for Joining: *
Opt-in for Office Depot Discounts: *
Federal ID Number *:
Aprox. Annual Revenue *:

Additional Information

Pillar Trustee Membership allows you to name three additional persons, associated with the companies or divisions, or a combination of these, to be listed under your membership, at no additional charge. General Membership allows one additional person.
Contact #1 – Full Name: *
Address (if different from above):
Phone: *
Email: *
Contact #2 – Full Name:
Address (if different from above):
Phone:
Email:
Contact #3 – Full Name:
Address (if different from above):
Phone:
Email:
Contact #4 – Full Name:
Address (if different from above):
Phone:
Email:

Miami Beach Chamber Survey
How did you hear about the Chamber? *
Referred by:
Other:
Have you met with Chamber staff regarding Business Development? *
Have you attended any of our Council meetings? *
Advocacy Council
Education Council
Emerging Leadership Council
Global Business Access Council
Health and Wellness Council
Law Council
Real Estate Council
Sustainability Council
Tourism and Hospitality Council
Executive Women’s Business Council
Technology Council
Women’s Business Roundtable Council
Professional Advisors Council
If none, please indicate your interests for possible future councils.
Which membership benefits do you plan on taking advantage of? *
Chamber Database Access
Chambermaster Profile
Events and Promotions Newsletter
Member in the News
Miami Beach Community Newspaper
Office Depot – up to 30% discount
Social Media
Visit Miami Beach
What else can we do to bring value to your new Chamber Membership? *

* Required fields