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: $150 - $540 Once Per Term)

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

Please select a valid membership option and fee item if exist

Membership Application

Chamber

Visit

Membership

Information

DIAMOND LEVEL

PLATINUM LEVEL

DIAMOND LEVEL

PLATINUM LEVEL

Chuck Baker

Chuck Baker