Join the Brooklyn Chamber of Commerce



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**Note: Membership dues may be tax deductible as ordinary and necessary business expenses. However, 13% of your annual dues to the Brooklyn Chamber is not deductible as a business expense for Federal Income Tax purposes. This represents our lobbying costs. Contributions or gifts to the Brooklyn Chamber are not tax deductible as charitable contributions.
   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Neighborhood (if in Brooklyn)
Phone *
Fax
Website
Email *
Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Additional Contacts (Note: Only Applies To Levels $650 & Over)
Billing Address (if different)
Street
City
State
Zip
Mailing Address (if different)
Street
City
State
Zip
About Your Business
Number of Employees
15-word business description:
Business Type
Green Business
Annual Revenue
Home Based Business
Minority Owned Business (51%)
Women Owned Business (51%)
MWBE Certified
Preferred Communication Method (check all that apply):
Please do not send me:
Non Profit
Tax Exempt
Interested in Member-to-Member Discounts Program
Are you willing to be contacted by the media?
Keyword Search (list up to 5 keywords, e.g. your company’s acronym, other relevant business categories, etc.)
Referred by
Date
Contact Name
Organization
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
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Number of Full Time Employees:  
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
   
$ 
$ 
$ 
*

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

Credit Card Information
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Credit Card Zip
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