South Tampa Chamber Membership Application

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Membership Levels

Level 1

1 - 5 Full Time Employees

$175.00

Level 2

6 - 10 Full Time Employees

$225.00

Level 3

11 - 20 Full Time Employees

$325.00

Level 4

21 - 50 Full Time Employees

$500.00

Level 5

50+ Full Time Employees

$750.00

Non-Profit 501(c)(3) and Government Officials

$100.00

Neighborhood Associations

$100.00

Public Schools

FREE

*Add $25 Application Fee to All Applications

Please contact Executive Director, Judy Gay for information on adding additional businesses to your membership,
sponsorships, trustee and other activities programs.

We thank you for your interest in joining the South Tampa Chamber of Commerce. Please complete this form and click the “Submit” button at the end. Be sure and use care in completing the form as this information will be used for your listing in our online Membership Directory and other publications produced by the Chamber. We look forward to having you be a part of the Chamber and are sure you will find your membership well worth your investment.

If you would rather print out a copy of the application and mail or fax it to the chamber, you can download the application in a PDF format here.

Business Name:

Is your application for a single location or for a multiple location business?

Application Type:

Business Type:*

Business Category:

Years in Business:

No. of Employees:*

Main Rep. Name:*

First Name

Last Name

Title/Position

Street:

City:

State:

Zip:

Telephone:*

Ext. No. (if needed):

FAX:

Email Address:

Web Site:

Please enter a value for Mailing/Billing Address

Mailing/Billing Address (if different from above):

Street or P. O. Box

City

State

Zip

Business Description:

*Limited to 150 Characters. This description is used for the Online Directory where visitors to the site search for products and services.

How did you hear about us?:

Location 2 Information

Please enter a value for the field Location 2 Rep. Name.

Rep. Name (if needed):

First Name

Last Name

Title/Position

Street:

City:

State:

Zip:

Telephone:

Ext. No. (if needed):

FAX:

Email Address:

Location 3 Information

Rep. Name (if needed):

First Name

Last Name

Title/Position

Street:

City:

State:

Zip:

Telephone:

Ext. No. (if needed):

FAX:

Email Address:

Location 4 Information

Rep. Name (if needed):

First Name

Last Name

Title/Position

Street:

City:

State:

Zip:

Telephone:

Ext. No. (if needed):

FAX:

Email Address:

As part of the reward for successful business and personal lives, the South Tampa Chamber of Commerce believes that giving back to the community is a commitment of repaying those who supported us. Please follow through on that commitment by joining our committees. Please check the Committees below you would be interested in participating in.

Committee Interest:

Ambassadors
Chamber Development
Communications
Education
Events
Formal Networking
Golf Classic Tournament
Government/Community
Healthcare Spotlight Awards
Krewe of Seville
Membership
Military Affairs
S.T.Y.L.E. (South Tampa Young Leaders & Executives)
Speakers
Taste of South Tampa

Release, Assumption of Risk, Covenant Not to Sue, and Hold Harmless: As a member of the South Tampa Chamber of Commerce, I hereby covenant that neither I nor my representatives will sue or make a claim for damages or injury against the South Tampa Chamber of Commerce or its past, present and future members, owners, employees, officers, directors, principals, parents, subsidiaries, affiliates, associate corporations, agents, partners, representatives, predecessors, heirs, legal representatives, successors, sponsors, beneficiaries and assigns (hereby referred to as "Released Parties"), and to the full extent allowed by law, release same from any and all liability, claims, demands, or causes of action for damages or injury, however caused, even if caused by the negligence, in whole or in part and in any form, of the Released Parties. I will pay all attorney’s fees and costs of the Released Parties shall I file suit or make a claim. I will defend, indemnify, and hold harmless the Released Parties from all claims, judgments and costs, including attorney’s fees (to the limited extent that the defense and indemnity are not otherwise covered by collectible liability insurance), in the event that someone suffers personal injury, bodily injury, death, or property damage as a result of members negligence, gross negligence, or willful misconduct in connection with any and all South Tampa Chamber of Commerce events, functions, meetings or any other social or business gatherings.

Please "sign" your name in the space below acknowledging your understanding of the above release. Once you have completed and signed your application, click the "Submit" button below to proceed to payment options.

Signature:*

Submit