Member Information

Chamber Member Business 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 URL

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

Check all that apply

• Veteran Owned
• Woman Owned

Committee Sign-up

• Chamber Golf Scramble
• Touch of Dutch Festival
• Touch of Dutch Parade
• Christmas Events
• 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