Membership Application

The Darien Chamber of Commerce is delighted to welcome you to our organization!  After reviewing the 2010 Membership Dues Schedule , please submit the form below to initiate your membership.

# of Employees Annual Dues

1                                            $250

2-5                                         $300

6-15                                       $400

16-25                                     $500

26-50                                     $600

51-75                                     $700

76-100                                   $900

Realtors Office                        $450

Utilities                                   $725

Non-Profits                             $150

Media                                      $600

Business Name
  1. (required)
Business Address
Web Information
  1. (valid email required)
Owner Name
Primary Contact
Business Information
Signature
 

cforms contact form by delicious:days