Member Application

Join the Burlingame Chamber of Commerce

An investment that will pay off for your business

Steps to join:

Submit this online form OR print out the membership application
Fill in the information about your business and determine the category to which your business belongs in Membership Package section
Make a check out to The Burlingame Chamber of Commerce for the appropriate amount and either mail or bring by our office at 417 California Drive in Burlingame

Please call us at (650) 344-1735 and schedule an appointment if there are further questions about benefits and opportunities that come with membership. We want to meet you and hope you come by soon!

Business Information

Company Name: *

Leave Blank:

Phone: *

Website: *

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram YouTube Pinterest

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Civic: Service, Cultural, Non-profit, Charitable Organization: $175.00
Hotel, Motel, Apartment, Hospital, Convalescent Home: See fee schedule to determine the fee and enter it below.
Professionals: Doctor, Attorney, Architect, Engineer, etc.: See fee schedule to determine the fee and enter it below.
Financial Institution: $415.00
Manufacturer / Processor / Wholesaler: See fee schedule to determine the fee and enter it below.
Retailer, Real Estate, Service, Automotive, Restaurant, Lounge, etc.: See fee schedule to determine the fee and enter it below.
If using fee schedule, enter fee here:

Payment Option:

Bill me

Print Application