Spring Valley Chamber of Commerce Membership Form

First Name *
Last Name *
Job Title
Organization Name
Street Address *
City *
State *
Zip *
Phone *
Fax
Email *
Website

Please, choose the membership level that describes your company:

Basic Membership $150.00
Premium Membership $250.00
Silver Membership $500.00
Gold Membership $1000.00
Platinum Membership $1500.00
Not For Profit $75.00
Associate Member $75.00

Check below if you are a new member.
One Time Administration Fee - $25.00

Total Cost =    


If you prefer, mail your form and check to:
Spring Valley Chamber of Commerce
3322 Sweetwater Springs Blvd. #202
P.O. Box 1211
Spring Valley, CA 91977