Request Headers: -->
Member
Member Application
Thank you so much for joining The Madison County Chamber of Commerce! We're so excited to have you as a member.
Step 1:
Member Info
Step 2:
Additional Info
Step 3:
Primary Contact
Step 4:
Billing Contact
Step 5:
Membership Options
Step 1:
Member Info
Company Name
*
Please add your company name.
Leave Blank
Phone
*
Please add your company phone number.
Website
Email
*
Please add a valid email.
Physical Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Mailing Address
Same as physical address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Step 2:
Additional Info
Business Description (1000 char max)
*
Please add your company description.
Business Keywords
(enter a space between words)
Directory Category
Choose...
Accountants
Advertising/Promotions
Agriculture
Antiques/Estate Sales/Consignments
Apartments
Architectural Design & Building
Art Galleries
Arts & Crafts
Assisted & Senior Living
Attorneys
Automotive Body, Paint & Glass
Automotive Parts & Repair
Automotive Sales
Bakery
Banks & Credit Unions
Bar/Pub
Beauty Salons/Spas
Books & Stationery
Car Rentals
Carpets & Flooring
Childcare
Childrens Clothing/Toys
Chiropractors
Churches
Cleaning Services
Clothing/Shoes
Coffee Shop
Community Organizations
Computer Service/Sales
Concrete & Masonry
Construction Management
Consultants
Contractors
Copier Sales and Service
Counseling
Country Clubs
Dance
Dental
Dermatologist
Distribution Center
Drug & Variety Stores
Dry Cleaners
Dumpster and Junk Services
Education
Elected Officials
Electrical Contractor
Employment/Staffing Agencies
Engineering
Entertainment
Event Planning
Event/Trade Show
Financial & Investment Services
Fishing
Fitness
Florists
Food & Beverage/Catering
Food Trucks
Forestry
Funeral & Cremation Services
Gifts & Specialty Items
Government
Graphic Design
Grocery Stores
Hardware
Holistic Health
Home & Hospice Nursing Care
Home Furnishings
Hospitals & Clinics
Hotels/Motels
Human Resource Services
Individual
Insurance
Interior Design
Jewelry
Landscaping
Legal Services
Library
Liquor Store
Mail Services/Shipping
Manufacturing & Production
Marine Charters, Sales & Service
Marketing
Massage Therapy
Medical Supply
Mortgage Banking
Non-Profit
Office Furniture & Supplies
Optical Services
Painting
Personal Services
Pets
Photographers/Photo Finishing/Framing
Plumbing, Heating, Air & HVAC
Press/Publications/Radio
Printing & Typesetting Services
Professional Service -Retail/Repairs
Property Leasing & Management
Public Relations
Real Estate Services
Resorts
Restaurants
Restaurants & Specialty Dining
Retail Stores
Security Services
Shopping Centers
Signs & Banners
Sporting Goods
Storage
Tax Preperation
Taxi
Telecommunications
Title Services
Travel Agencies
Truck parts and repair
Trucking
Utilities
Veterinarians
Website & IT Service
Wholesale
Full-time Employees
*
Please add your number of full-time employees.
Part-time Employees
*
Please add your number of part-time employees.
Step 3:
Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Address in Step 1
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Pinterest
Instagram
Create Account
This Login is already in use
Login
*
Please add your login username.
Password
*
Please add your login password.
Step 4:
Billing Contact
Same as Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Primary Contact Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Pinterest
Instagram
Create Account
This Login is already in use
Login
*
Please add your login username.
Password
*
Please add your login password.
Step 5:
Membership Package
Please select a Membership Package
Utility Companies
$
988
Student
$
25
Individuals
$
75
Agriculture
$
75
Retail & Service 0-2 Employees
$
150
Retail & Service 3-5 Employees
$
219
Retail & Service 6-10 Employees
$
229
Retail & Service 11-15 Employees
$
235
Retail & Service 16-25 Employees
$
308
Retail & Service 26-35 Employees
$
338
Retail & Service 36-50 Employees
$
377
Retail & Service 51-75 Employees
$
433
Retail & Service 76-100 Employees
$
508
Retail & Service 101-150 Employees
$
623
Retail & Service 151-200 Employees
$
773
Retail & Service 201-250 Employees
$
923
Retail & Service 251-300 Employees
$
1,073
Retail & Service 301-350 Employees
$
1,223
Retail & Service 351-400 Employees
$
1,523
Retail & Service 401-450 Employees
$
1,523
Retail & Service Over 450 Employees
$
1,748
Financial Institutions Deposits of up to $2.5M
$
150
Financial Institutions Deposits of $2.5M-$5M
$
250
Financial Institutions Deposits of $5M-$10M
$
495
Financial Institutions Deposits of $10M-$25M
$
743
Financial Institutions Deposits of over $25M
$
989
Manufacturing & Distribution 0-2 Employees
$
207
Manufacturing & Distribution 3-5 Employees
$
219
Manufacturing & Distribution 6-10 Employees
$
229
Manufacturing & Distribution 11-15 Employees
$
235
Manufacturing & Distribution 16-25 Employees
$
267
Manufacturing & Distribution 26-35 Employees
$
420
Manufacturing & Distribution 36-50 Employees
$
459
Manufacturing & Distribution 51-75 Employees
$
515
Manufacturing & Distribution 76-100 Employees
$
590
Manufacturing & Distribution 101-150 Employees
$
700
Manufacturing & Distribution 151-200 Employees
$
1,184
Manufacturing & Distribution 201-250 Employees
$
3,175
Manufacturing & Distribution 251-300 Employees
$
3,325
Manufacturing & Distribution 301-350 Employees
$
3,475
Manufacturing & Distribution 351-400 Employees
$
3,625
Manufacturing & Distribution 401-450 Employees
$
3,775
Manufacturing & Distribution over 450 Employees
$
4,000
Medical & Nursing 0-2 Employees
$
290
Medical & Nursing 3-5 Employees
$
302
Medical & Nursing 6-10 Employees
$
312
Medical & Nursing 11-15 Employees
$
318
Medical & Nursing 16-25 Employees
$
350
Medical & Nursing 26-35 Employees
$
380
Medical & Nursing 36-50 Employees
$
419
Medical & Nursing 51-75 Employees
$
475
Medical & Nursing 76-100 Employees
$
550
Medical & Nursing 101-150 Employees
$
665
Medical & Nursing 151-200 Employees
$
815
Medical & Nursing 201-250 Employees
$
965
Medical & Nursing 251-300 Employees
$
1,115
Medical & Nursing 301-350 Employees
$
1,265
Medical & Nursing 351-400 Employees
$
1,415
Medical & Nursing 401-450 Employees
$
1,565
Medical & Nursing over 450 Employees
$
1,790
Non Profit & Education 0-2 Employees
$
200
Non Profit & Education 3-5 Employees
$
212
Non Profit & Education 6-10 Employees
$
222
Non Profit & Education 11-15 Employees
$
228
Non Profit & Education 16-25 Employees
$
260
Non Profit & Education 26-35 Employees
$
290
Non Profit & Education 36-50 Employees
$
329
Non Profit & Education 51-75 Employees
$
385
Non Profit & Education over 75 Employees
$
460
Professional 0-2 Employees
$
248
Professional 3-5 Employees
$
260
Professional 6-10 Employees
$
270
Professional 11-15 Employees
$
276
Professional 16-25 Employees
$
308
Professional 26-35 Employees
$
338
Professional 36-50 Employees
$
377
Professional 51-75 Employees
$
433
Professional over 75 Employees
$
508
Comments/Questions
Payment Option
Bill Me
Please complete the Captcha
Back
Next
Submit Application
Print Application