We are so glad you've chosen to join the Northeast Cincinnati Chamber! Depending on your location, you may be eligible for a dual membership with the NEC Chamber and Cincinnati USA Regional Chamber. If you want to learn more about this option, check Dual Member on the application.

Member Application:

* Company Name:

* Phone:

Website:

* Email:

Business Description (200 char max)

Business Keywords:

* Physical Address:

* City/State/Zip:

Country:

Mailing Address:

Same as physical address

City/State/Zip:

Country:

Business Category:

Employees:

Full-time: Part-time:

Comments/Questions:

Primary Contact Information:

* Name (First / Last):

/

Title:

* Phone:

Cell Phone:

Fax:

* Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn:

Facebook:

Address:

Same as Company Address

City/State/Zip:

Country:

Billing Contact Information:

Same as Primary Contact

Name (First / Last):

/

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn:

Facebook:

Address:

Same as Company Address

City/State/Zip:

Country:

Membership Package:

	Tier 1: See fee schedule to determine the fee and enter it below.
	Tier 2: See fee schedule to determine the fee and enter it below.
	Tier 3: See fee schedule to determine the fee and enter it below.
	Tier 4: See fee schedule to determine the fee and enter it below.
	Tier 5: See fee schedule to determine the fee and enter it below.
	Tier 6: See fee schedule to determine the fee and enter it below.
	Tier 7: See fee schedule to determine the fee and enter it below.
	Tier 8: See fee schedule to determine the fee and enter it below.
	Tier 9: See fee schedule to determine the fee and enter it below.
	Tier 10: See fee schedule to determine the fee and enter it below.
	Tier 11: See fee schedule to determine the fee and enter it below.
	Tier 12: See fee schedule to determine the fee and enter it below.
	Tier 13: See fee schedule to determine the fee and enter it below.

If using fee schedule, enter fee here:

Payment Option:

Bill me
Charge my credit card

Submit Application:

Enter the CAPTCHA words, then press the Submit Application button.

Submit Application Print Application

Phone: 513.336.0125

Member Application:

Primary Contact Information:

Billing Contact Information: