Covington Chamber of Commerce - Online Registration Form

Covington Chamber Membership Form

Tell Us About Yourself

Use this convenient form to register online! A representative of the Covington Chamber of Commerce will be in contact with you shortly.

Membership Investment for 2006
Annual Business Membership Investment
1-25 Employees & Public Officials - $275.00
26-75 Employees - $350.00
76-150 Employees - $450.00
151+ Employees & Municipalities - Negotiable
Non-Profit - $200
One Time Set-up Fee - $25

Business Name
Owner/Representative Name
Additional Representative(s) Include email address if you also want email updates.

Business Type
Business Address
City
State
Zip Code
Phone
Fax
Email Address
Website
Referred By
Number of Employees

Please select any of the following committees that you are interested in:
Ambassadors
Auction
Economic Development Council
Education
Golf Tournament
Governmental Affairs
Networking Events
Programs