To view this form, please enable JavaScript in your browser.

In consideration of the work of the Beloit Area Chamber of Commerce, i/we agree to invest for the balanced growth and development of the Beloit area according to the Board of Director’s approved investment schedule. The following is to be completed by the applicant and the sponsor (please print or type).

Organization Information (to be displayed online)
Mailing Address (if different)
Main Contact
Additional Contacts
Contact 1
Contact 2
Contact 3
Contact 4
Contact 5
Contact 6
Contact 7
Contact 8
Contact 9
Contact 10
Membership Investment
  • Select additional directory categories below by holding the "CTRL" key
  • Secondary categories will be charged at $20 each.
FT – 2 part-time employees are equivalent to 1 full-time employee
Based on the number of hookups as of June 30th
Base on assets as of June 30th

The contents of this box are for testing purposes. This box will be removed when the form goes live. Credit Card Information

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Please click submit only one time.  The transaction may take several seconds.