Membership Application

Instructions

Please check the box next to "Member" and select your desired membership level from the drop-down menu. If you need an invoice to pay your membership dues, contact the Chamber staff at 937-748-0074.

Select An Option

Member Price of Level Selected (Price Range: $155 - $555 Annually)

Select Level

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Membership Options are incorrect, Please check the selected membership options

Membership Application

Chamber

Visit

Membership

Information

DIAMOND LEVEL

PLATINUM LEVEL

DIAMOND LEVEL

PLATINUM LEVEL

Chuck Baker

Chuck Baker