Membership Form 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? 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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 Payment2025 Membership Dues by Organization Size*Sole Proprietor - $90Small Business / Civic Group (2-5 employees) - $105Medium Business (6-15) - $175Large Business (16-49) - $275Major Employers (50+) - $525Media - $315Friend of the Chamber (non business) - $60Join 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