MicroNet Template Member Application Thank you for your interest in joining the Worcester Regional Chamber of Commerce and Affiliates. Please complete the following application. Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Abrasive Products Mfg. Accountants / Services Acupuncture Advertising Agencies/Clubs/Organizations Agriculture Air Conditioning Service Air Freight Services Airlines Ambulance Service Amusement & Entertainment Antique Dealers / Retail Apartment Complexes Appliance Sales & Service Architects / Services Art Galleries Artists/Art Studios Arts & Crafts Assistance Dogs Assisted Living Communities ATM Machines Attorneys Auction Firms / Services Audio / Visual Consultants / Service Auto Body Repair Auto Clubs Auto Glass Auto Parts & Accessories Auto Rental & Leasing Auto Repairs Auto Sales Auto Service Auto Tires Automation Services Automobile Transportation Automotive Manufacturing Aviation Instruction Awnings Bakeries Banks-Commercial Banks-Savings Banks-Savings & Loan Assoc. Banquet/Reception/Meeting Facilities Bars / Clubs Bartering Bed & Breakfast/Country Inns Benefits Advisor Beverage Manufacturer / Distributor Biotechnology Boat Sales & Service Book Stores Bookeeping Services Bowling Alley / Services Brewery Bridal/Formal Wear Business Brokers/Intermediaries Business Consultants Business Support Services Cable Manufacturing Campgrounds Candy - Retail Car Wash/Detailing Carpet Installers/Sales Casino/Resort Catering Cemeteries Ceramics Charitable Organizations/Foundations Check Cashing Service Chemicals - Mfg. Child Care/Early Education Chimney Services Chiropractors Churches/Synagogue/Chapel Cigar Sales/Lounge Cleaning Services Clothing Accessories Clothing/Apparel - Retail Coffee Delivery Service Coffee Shop Coin Dealers Collection Services Colleges & Universities Commercial Equipment Sales/Service Communications Computer Consultants Computer Services Computer Software/Hardware Design Computer Software/Hardware Sales & Service Concierge Services Concrete Contractor Conference Centers Constable Construction Equipment Construction Management Construction/Contractors - Engineering Construction/Contractors - General Construction/Contractors - Specialties Construction/Contractors - Suppliers Consultants Contract Manufacturing Convenience Stores Copier Sales and Service Corrugated Containers Corrugated Packaging - Mfg. Counseling Services Courier & Delivery Service Crafts / Specialty Store Credit Card Processing Credit Services Credit Unions Cultural - Non-Profit Custom Picture Framing Dance Studios / Schools Data Collection Services Data Communications Day Care Centers Deli's Dental Insurance Dentists Design - Miscellaneous Destination Management Digital Media Dinind Disaster Restoration Disc Jockeys Document Management Dry Cleaning Services Dry Cleaning/Laundry Equipment Dyes Editorial Services Educational / Medical / Cultural - Other Educational Consultants Educational Services Electrical Components - Mfg. Electrical Contractors Electrical Machinery - Mfg. Electrical Sales/Service Electronics Embroidery Apparel Employee Assistance Programs Employee Benefit Plans Energy Conservation Energy Sources Engineering Services Entertainment Environmental Services Equipment Leasing, Financing & Sales Event Management Event/Theme Planning Excavating Services Exterior Home Improvement Eye Physicians & Surgeons Fabricated Metals - Mfg. Farms Fences - Sales/Service Fiber Optics Finance Companies Financial Consultants Financial Services Fire Protection Services Firearms Training Fishing - Commercial Flea Markets Flea Markets Floor Cleaning Floor Covering Sales/Service Florists - Retail Food - Mfg. Food - Retail Food Service Footwear Retail Freight/Logistics Management Fuel Oils - Air Conditioning Funeral Services Furniture - Home/Office Furniture - Used Furniture / Fixture / Repair - Mfg. Garage Doors Gasoline/Full Service Stations Gift & Food Baskets Gift Shops/Collectibles Glass Services - Coating & Tinting Golf - Indoor Golf Courses Golf Marketing Government Granite & Marble Granite Monuments Graphic Designers Greenhouse/Nursery Hair & Beauty Services Hardware/Tools Retail Health & Fitness Facilities Health & Wellness Health - Non-Profit Health Care Services Health Insurance Providers Health Maintenance Org. Healthcare - Mfg. Healthcare Consultants Healthcare Linen & Laundry Services Heating & Cooling Heating Equipment - Sales/Service Heavy Equipment Home Care Services Home Health Care Services Home Improvement/Repair Services Home Inspection Services Home Remodeling Home Staging & Design Horse Boarding/Stables Horse Trainer Hospice Care Hospitality Hospitality Consulting Hospitals Hotels - Motels Housewares HR Consultants Human Services Ice Cream - Retail Identification Card Systems Importing/Exporting Individuals Indoor Golf Industrial Sales/Repair Service Information Security Insurance Agencies Insurance Agents Insurance Companies Interior Design Internet / Website Services Internet Sales Interpreters Investigation Services Investment Firms & Services Invitations/Stationery Irrigation Services Irrigation Services - Mfg IT Computer Services Jewelry - Internet Jewelry - Retail Job Search Online Justice of the Peace Laboratory Testing Landscape Architect Landscape Materials/Service Landscaping Language Services Laundry Services Lawn & Garden Retail Leasing Services Leather - Mfg. Legal Services Life Coach Life, Disability, Annuities Lighting Limousine Service Linen Rental/Services Liquor / Package Stores Livestock Boarding Lobbyist Locksmiths Log Homes Logging Machinery Manufacturing Machinery Sales & Service Mailing Services Maintenance Services Management Consultants Manufacturers Reps. Manufacturing - Metals Manufacturing - Misc. Marinas Marketing Consultants Marketing Services Martial Arts Instruction Masonry/Concrete Massage Therapy Measuring/Analyzing, etc. Mfg Mechanical Design Media Consulting and Production Mediation Services Medical Medical Device Manufacturing Medical Equipment Metals - Heat Treating Metals Recycling Military Recruiting Millwork Model/Talent Agency Modular Systems Mortgage Bankers & Brokers Motor/Air Freight Motorcycle Sales Moving & Storage Moving Services Municipalities Museums Music/Instruments Musicians Nail Salons Non-Profit Organizations Novelty Items Nursing Homes Office Equipment & Supplies Online Marketplace Optometrists & Opticians Orchards Package Distribution Painting Contractors Paper - Mfg. Parent Child Play Program Parking Services Party/Wedding Supplies & Services Paving/Asphalt Pawnbrokers Payroll Services Personal Needs Services Pest Control Services Pet Services Petroleum - Mfg. Pharmacies Photo Services & Sales Photographers Physical Therapy Services Physicians Picture Framing Plastering/Drywall Plastics - Molders Mfg. Plumbing/Heating Portrait Painting Postage Meters & Mailing Equipment Primary Metals - Mfg. Print/Promotional Service Provider Printers Private Equity Company Professionals - Other Promotional Products Property Casualty Insurance Property Management Psychiatrists/Psychologists Public Adjusters Public Relations Publishers Radio Real Estate / Services / Rentals Real Estate Appraisers Real Estate Management/Development Record/Document Storage & Management Recreation / Activities / Retail Recreational Vehicles Recruiting Services Recycling Services Religion Consultants / Services Relocation Services Rental Services Reproduction Furniture Research & Development Tax Credit Services Research/Testing Residential Community Restaurant Consulting Restaurant Management Restaurants Restoration Services Retail - Other Retail Stores/Malls Retirement Communities Retirement Planning Services Roofing & Siding Services Roofing Manufacturer Rubber & Misc. Plastics - Mfg. Rubber Product Mfg. Safety Products Safety Training Sales - Misc. Sand & Gravel Schools Scrap Metals (Ferrous/Nonferrous) Screen Printing & Embroidery Seafood - Retail Search Engine Optimization (SEO) Security Systems/Services Self-Adhesive Labels Mfg. Senior Center Septic Tank Services Services-Other Sheet Metal Fabrication Shelters Ship & Boat Building/Repair Shred Service/Shredding Equipment SICdisplay Signs/Banners Skin Care Snow Plowing Software Design Speakers Specialty/Gourmet Food/Fine Wines - Retail Sport Training / Clubs Sporting Equipment Sports - Entertainment Sprinkler Systems - Fire Staffing/Recruiting Services Stained Glass State Agency Steel Services Stone, Clay, Glass - Mfg. Storage Services Swimming Pools Tailors Tanning Salon Tax Preparation Services Technical Documentation Technology - Miscellaneous Telecommunications Telephone - Services Television Temperature Certification Services Textile - Mfg. Tool & Die Makers Toys & Sporting Goods Trade Associations Trade Show Services Trailer Sales Training Consultants Translation Services Transportation Travel Services Tree Services Truck Refrigeration/Air Conditioning Truck Repairs/Service Truck Sales/Rental/Leasing Typesetting/Graphics/Design Uniform Supply Services Unions Urgent Care Centers Utilities Valet Services Vending Venture Capital/Funding Veterinarians Video/Film Production Virtual Assistant Wallpaper Sales & Service Waste Removal Companies Water Treatment Waterpark Waterworks WDO Lifetime Members Website Design/Development Wedding Services Wedding Services Welding Services Well & Pump Services Wholesalers & Distributors Windows/Doors - Sales Winery Wiping Materials Wrecking Services Writers Youth Services Employees: * Full-time Part-time Business Keywords (enter a space between words): Comments / Questions: Heard about Chamber: Reasons for Joining: Veteran Owned Business: Woman Owned Business: Minority Owned Business: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: Line 2: City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Social Networking: LinkedIn Facebook Twitter Primary Contact Information First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Canada United States Membership Options Membership Package: * Auburn Package: $275.00 Auburn Affiliate Membership Wachusett Package: $295.00 Wachusett Affiliate Membership Auburn Non Profit Package: $150.00 Auburn Affiliate Membership - NON PROFIT Standard Membership - $395 (inc. up to 5 employees): See fee schedule to determine the fee and enter it below. See fee schedule Corporate Membership: $1,000.00 •Invitations to quarterly Chamber President round table discussions with special guest speakers on timely topics and attended by board members • Enhanced listing on the Chamber’s website (includes a company description, searchable keywords for preferred ranking, and a small graphic) • Advertising in the Chamber’s electronic newsletter: E-News & Info with a link to your website (up to four times per year) • Advertising on the home page of the Chamber’s website (up to 8 weeks per year) • One-time use of the Chamber’s mailing list • Admission to all Business After Hours events (up to 3 attendees per event) Regional Membership: $2,200.00 Includes all of the benefits of the corporate membership and affords you five additional memberships in our affiliate Chambers of Commerce – Auburn, Blackstone Valley, Central Mass South, Wachusett Area and Webster Dudley Oxford If using fee schedule, enter fee here: Additional Opportunities: We will contact you with additional information. Upgrade to Enhanced Web Package for 3 Months : $50.00 For Standard Package Only **Comes standard with Corporate and Regional Memberships Upgrade to Banner Package for 3 Months : $100.00 For Standard Package Only **Comes Standard with Corporate and Regional Memberships Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Worcester Regional Chamber of Commerce and Affiliates . I grant Worcester Regional Chamber of Commerce and Affiliates permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application