Business Name* Business Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code This address is the same as my physical business address. Yes No Business Physical Address(Where your customers find you) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Owner's Name* First Last Contact's Name(If different from Owner) First Last Contact Email* Enter Email Confirm Email Business Directory InformationWhat Year Was Your Business Founded? Categories*Advertising & MediaArts, Culture, & EntertainmentAutomotive & MarineBusiness & Professional ServicesComputers & TelecommunicationsConstruction Equipment & ContractorsEducationFinance & InsuranceGovernment, Education, & IndividualsHealth CareHome & GardenLegalLivingLodging & TravelManufacturing, Production & WholesaleNon-Profits, Community & Civic OrganizationsPersonal Services & CarePets & VeterinaryPrinting ServicesPublic Utilities & EnvironmentReal Estate, Moving & StoragePublic Utilities & EnvironmentReal Estate, Moving & StorageReligious OrganizationsRepairRestaurant Food & BeverageShopping & Specialty RetailSports & RecreationTransportationAdvertising/Media SubcategoryMarketingMedia/InformationRadioAutomotive & Marine SubcategoryAutomobileArts, Culture & Entertainment SubcategoryArtistsEntertainmentEvents Planning/Party SuppliesGalleries & SuppliesPerforming Arts/Music/DanceBusiness & Professional Services SubcategoryArchitectureBusiness ServicesEmployment ServicesShared Office Space (Co-working)Construction Equipment & Contractors SubcategoryBuilding Supplies/HardwareElectrical SupplyElectricianLandscaping/GardeningComputers & Telecommunications SubcategoryInternet/Cable ServicesWebsitesEducation SubcategoryChild CareEducationFinance & Insurance SubcategoryAccountingBanksFinanceInsuranceGovernment, Education & Individuals SubcategoryLaw EnforcementHealth Care SubcategoryDentistsHealth CareHospitalsHome & Garden SubcategoryAlarm SystemsFurnitureGardeningLandscape/Hardscape ServicesPool & Spa SuppliesLodging And Travel SubcategoryLodgingManufacturing, Production & Wholesale SubcategoryFarmIndustryPersonal Services & Care SubcategoryBeauty ServicesExercise/FitnessFuneral ServicesHair SalonHealth SuppliesNail SalonTanning SalonWeddingNon-Profits, Community & Civic Organizations SubcategoryNon-ProfitsCivic/Community OrganizationsPets & Veterinary SubcategoryAnimal Care/PetsPublic Utilities & Environment SubcategoryEnergyMunicipal ServicesRecyclingTelephone ServicesWaste Services/RecyclingReal Estate, Moving & Storage SubcategoryReal Estate/HousingStorageReligious Organizations SubcategoryReligiousRepair SubcategoryPlumbingCooling/HeatingRestaurant Food & Beverage SubcategoryBakeryBarsBreakfastBreweryCateringFood (Specialty)Food TruckRestaurantsWine & SpiritsShopping & Specialty Retail SubcategoryAntiquesBookstoresClothing/FootwearConsultingGas/ConvenienceGiftsGroceryMusic/EquipmentOffice SuppliesPharmaciesRecreationShoppingShopping (department/specialty)Vending/ConcessionsSports & Recreation SubcategorySporting/Outdoor GoodsTransportation SubcategoryDeliveryTransportation ServicesTrucking ServicesLogo*Will display as a square. Accepted file types: png, jpg, jpeg, webp, gif, Max. file size: 300 MB.Website PhoneFormat (###) ###-####Business DescriptionFacebook Link Instagram Link Video LinkYoutube or Vimeo link Photo Gallery (Select Up To Six Images)These will be displayed as square images so crop prior to uploading if you want to make sure they display the way you want. JPG and PNG files only Drop files here or Select files Accepted file types: png, jpg, Max. file size: 300 MB, Max. files: 6. Membership Options I want to Participate in the Gift Certificate Program I want to find out about joining a committee or the Board of Directors PaymentMembership Dues by Organization Type/Size*Sole Proprietor - $85Small Business / Civic Group (2-5 employees) $100Medium Business (6-15) - $165Large Business (16-49) - $250Major Employers (50+) - $495Media - $300Friend of the Chamber (non business - min. donation $55)Financial Institution - $360Join as a Business Leader!*Business leaders provide additional support to the Potsdam Chamber and in turn receive additional promotional opportunities. Yes, I want to join as a business leader. No, I will not join at this time. Business Leader DuesBusiness leaders provide additional support to the chamber by paying 50% additional dues. In turn, business leaders receive additional promotional opportunities and are considered a leader within the community.Sole Proprietor - add $42.50Small Business / Civic Group (1-5 employees) - add $50Medium Business (6-15) - add $82.50Large Business (16-49) - add $125Media - add $150Financial Institutions - add $180Major Employers (50+) - add $247.50Additional donationI'd like to help support the chamber with an additional donation. Total $0.00 CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ Questions? Contact the Executive Director at 315-274-9000 (email@example.com) If you’d rather print and mail us the application, here is the PDF version of the form.