Member Information

Thank you for filling out your business information. We will update our records. If at any time you need changes, you can call the office at 219-987-5800 or e-mail Diva at info@demottechamber.org.

Important for you to know: your business name, physical location, business phone number and a link to your website or Facebook page are posted here on the Chamber website. Your business contact name and e-mail address will never appear on the Chamber website.

Check out the Membership Directory to see your business listing.

Business Information

Business Name *

Physical Business Location *

Address Line 1

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Mailing Address (if different than above)

Address Line 1

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Billing Address (if different than above)

Address Line 1

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

What year did you start your business? *

How would you like to receive invoices from the Chamber? *

• E-mailed to the e-mail listed below
• Mailed to the billing address above

E-mailed or paper invoices can be paid through the secure payment portal at www.demottechamber.org/payinvoice.

Email *

Include the email you wish invoices to be sent to.

Website or Facebook URL

Primary Contact Information

Primary Contact Name *

First

Last

Email *

The Chamber will never sell or share your e-mails. These are strictly for Chamber correspondence use ONLY. If at any time you wish you unsubscribe from the Chamber e-mails, simply e-mail info@demottechamber.org to unsubscribe.

Phone *

Additional Business Representatives

You can add as many representatives as you see fit for your business or organization. The Chamber will never sell or share your e-mails. These are strictly for Chamber correspondence use ONLY. If at any time you wish you unsubscribe from the Chamber e-mails, simply e-mail info@demottechamber.org to unsubscribe.

Name

First

Last

Email

Name

First

Last

Email

Name

First

Last

Email

Additional information

Committee Sign-up

• Adulting Day, formerly Reality Store (May)
• Touch of Dutch Festival (Aug)
• Touch of Dutch Parade (Aug)
• Chamber Golf Scramble (Sep)
• Retail & Networking Collaboration

Committee volunteerism is necessary for productive planning and successful outcome. There is so much networking that happens during these committee meetings. Please consider signing up for a committee or two today. Check all that apply.

Submit