Member Application Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): Directory Category: * --- Select Primary Category --- Accounting & Financial Services Accounting and/or Tax Service Accounting Services Advertising Aerospace Material & Parts Aerospace/Aviation Air Conditioning & Heating Aircraft Hardware Mfg. 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Manufacturer - Equestrian Clothing Manufacturer - Lawn/Garden Products Manufacturer - Leather Furniture Manufacturer - Lighting Manufacturer - Pottery Tools/Doll Supplies Manufacturer - Sheet Metal Products Manufacturer - Silicone Compounds Manufacturer - Spas Manufacturer - Textiles Manufacturer - Turnstiles/Rail Manufacturer - Vitamins Manufacturer Labels & Tags Manufacturer- Tank Liners-Recovery Bags Manufacturing - Manufacturers Representatives Marketing & Advertising Publication Marketing Consultants Martial Arts/Fitness Massage Therapy Material Handling/Construction Meat Market Medical Billing Medical Centers/Groups/Clinics Medical Products Medical Spa Medical Supplies-Wholesale Men's Clothing Merchant Services Modular Buildings/Construction Mortgage Company Mortgage Loan Originator Motivational Speaker Museums Musical Newspapers Notary Service Novelties Distributor Office Supply - printers Office-Supplies, Equipment & Furniture Office/Business Park Optical, Optometrists, Opticians Orthodontists Packaging Film - Custom Packaging Materials Packaging, Materials Handling, Safety & Janitorial Supplies Paint Store Payroll Services Pest Control Services Pharmacy Photography Physical Therapy Physicians & Medical Services Plastics Plumbing Pool Construction Pre-School Pregnancy Resource/Counseling Center Printers/Graphics Printing - Letterpress Services Printing Equipment Sales & Serivce Private High School Professional Organizer Property Management/Land Development Property Managers Publications Real Estate - Commercial/Investment Real Estate Appraisers Real Estate Development/Mgmt. Real Estate Sales - Residential/Investment Real Estate Services Real Estate--Property Tax Assessment Recycling Rentals - Party & Equipment Rentals-Car & Truck Residential - Senior Residential Care Residential Care - Senior Restaurant & Smoothies Restaurant - Japanese Restaurant-Filipino-Groceries-Catering Restaurant-Hawaiian Restaurant-Indian Restaurant-Irish Pub, Gastropub Restaurants Restaurants - American Restaurants - Argentinian Restaurants - Asian Restaurants - Bagels, Sandwiches or Wraps Restaurants - Bar & Grill Restaurants - Bar-B-Que Restaurants - Basque Restaurants - Brazilian Bar-B-Que Restaurants - Buffet Restaurants - Cafe Restaurants - Italian Restaurants - Jamaican Restaurants - Mexican Restaurants-Catering Restaurants-Seafood Restaurants-Thai Food Retail Roofing Sales Training Salon School District/Education Schools - Christian Schools - College & Technical Schools - Pre-School or Elementary Shooting Range-Recreational Shopping Centers Signs & Identification Products Small Business Loyalty Program & Customer Relationship Management Small Business Resources Social Services Solar Energy Sports Park Starbucks Coffee Company Storage Facilities/Moving Supplies Supermarket/Grocery Store Surf Store Tax Service (Also See Accounting) Tax Services Telecommunications Telephone & Data Specialist/Business Communications Tennis Court Equipment Thrift Store Tile, Granite, Stone & Flooring Tours & Consulting Toy Store Tractors & Equipment Training Training Transmission Repair Travel Agencies Trophies/Awards/Plaques Tutoring U.S.Army Career Center, U.S. Army Recruiting Uniform Rental Utilities Veterinary Svcs. & Supplies Warehouse/Logistics Center Warehouse/Office Leasing Waste Disposal Services Water Conservation & Education Water Services Water/Fire/Mold Restoration Website Design/Internet Services Welding Equipment Winery & Restaurant Women's Clothing & Accessories Youth Sports Employees: * Full-time Part-time Business Keywords (enter a space between words): Comments / Questions: If you were referred by an existing member, please tell us who: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. 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Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Title: Phone: * Cell Phone: Fax: Email: * Contact Preference: Email Phone Login: * Password: * Social Networking: LinkedIn Facebook Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Canada United States Membership Options Membership Package: * Non-profit organization: $175.00 501(c)3 or comparable (Charitable) organization Small Business: $310.00 1-9 employees Medium Business: $370.00 10-29 Employees Large Business: $475.00 30+ Employees Additional Fees: New member processing fee : $25.00 One-time fee Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Chino Valley Chamber of Commerce. 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