Member Application

Thank you for your interest in joining the San Rafael Chamber of Commerce! Please fill out the form below to join the Chamber.Company Name, Primary Contact Name, Number of Employees, Phone Number and Email are required. All other fields are optional at this time. If you have any questions, please call 415-454-4163 or email frontdesk@srchamber.com.

Business Information

Company Name: *

Leave Blank:

Phone: *

Email: *

Directory Category:

Employees: *

Full-time Part-time

Primary Contact Information

First Name: *

Last Name: *

Membership Options

Membership Package: *

General Membership: See fee schedule to determine the fee and enter it below.
Non-Profit Membership: See fee schedule to determine the fee and enter it below.
Sole Proprietor: See fee schedule to determine the fee and enter it below.
Second Site Membership: See fee schedule to determine the fee and enter it below.
Retired/Individual/Community Supporter Membership: See fee schedule to determine the fee and enter it below.
If using fee schedule, enter fee here:

Additional Fees:

Administrative Fee : $65.00
One-time administrative fee of $65

Additional Opportunities:

We will contact you with additional information.

Save time with Automatic Renewals : $0.00
I authorize my membership to be charged automatically to my credit card on my annual renewal date (NOTE: PLEASE also check "Securely Save this Card" when you enter your Credit Card information)

Payment Option:

Charge my credit or debit card

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