Member Application Thank you for your interest in the Greater Brookfield Chamber of Commerce! Please complete the following membership application. Click Here for printable version with pricing information. Step 1: Member Info Step 2: Additional Info Step 3: Primary Contact Step 4: Membership Options Step 1: Member Info Company Name * Please add your company name. Leave Blank Phone * Please add your company phone number. Physical Address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Mailing Address Same as physical address Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Step 2: Additional Info Directory Category Choose... 3-D Scanning, Reverse Engineering Accountants Adult Daycare Advertising / Marketing Advertising Specialties, Gifts, Promotions Animal Care Answering Service Apartments Apparel Apparel / Children Architect/Design Associations Attorneys Auto Sales, Lease Auto Service, Repair AV Technology Awards Bakery Banks Beauty Bottled Water Services Business Coaching Consultants Business Communications/Internet Business Services Business Services Consultants Cabinetry Specialists Carpet and Flooring Carpet and Furniture Cleaning Catering Catering (not published) Childcare Children's Entertainment Chiropractic Clinic Cleaning Services Closet and Organization Systems Coffee Shops College / University Commercial Insurance (not published) Commercial Interior Design Commercial Real Estate Computer / Software Computer Consulting & Training Computer Hardware, Software, Sales, Service, Consu Computer Repair / Support Confections Construction / Remodeling Construction, Builders, Architects Consultants Consultants - Environment, Safety Contractors Cooking Shows Copiers, Printers, Scanners, and Software Country Clubs Creative Spaces Credit Card Processing Credit Union Dance School Data/Comm Cabling Decorated Apparel Delivery Services Dental Care Disaster Restoration Distributors Document Destruction / Shredding Drivers Education Drug & Alcohol Testing Services Dry Cleaners Durable Medical Equipment Electrical Contractor Employee Benefits Employment Services Energy Solutions Engineering Entertainment Entertainment, Talent, Theatres, Production Estate Sales Event Planning Executive Coaching & Business Consulting Eye Care Family Services Fashion Accessories Financial Services Fire Protection Flooring Florist Food Footwear Funeral Services Furniture Furniture Rental Gifts / Food Gifts / Home Decor Golf Gourmet Food Gourmet Popcorn Government & Elected Officials Grocery Store Guitar Shop Handyman Services Hardware/Online Health / Wellness Health Care Health Club / Fitness Health Insurance Hearing Aids Heating & A/C Home Care & Hospice Home Improvements Hotels Human Resource Services Industrial Temperature Controls/Sales & Service Insurance Insurance and Risk Management Consultants Interior Design Internet Marketing IT Services Janitorial Cleaning Jewelers Land Surveying Landscaping LASIK Lawn Care Life Coach Lighting Limousine & Transportation Services Liquor, Beer, Wine Management Psychologists Manufacturer / Industrial Marketing Masonry Massage Therapy Mattress Retail Media Medical Equipment Service Mental Health Clinic Mexican Prepared Food Military Mobile App Development Mortgage Specialists Moving, Storage Nail Salon Newspaper Non-Profit Office Furniture Office Space, Business Services Paint Wholesale Retail Store Painters Party Rental Party Supply Payroll Services Pest Control Pet Grooming Pharmacy Photography Physical Therapy Pizza, Take and Bake Plants Pools & Spas Preschool/Daycare Pressure Washing Printer Cartridges Printers Printing and Shipping Printing, Copying and Mailing Services Professional Services Property Maintenance Psychologist Psychotherapist Public Relations Publishing Re-Upolstery Real Estate Recreational Facility Remodeling Rental Equipment Restaurants Retail Retirement Communities Risk Management Roofing Sales Training Salon / Full Service Salon / Hair Care Salon and Spa Schools Seamstress Security Services Senior Care Shopping Centers Signs Skin Care Consultants Skin Care School Software Developer Spa Specialty Shopping Sports Sports, Fitness Staffing Storage Tavern Tax & Debt Resolution Telecommunications Time and Attendance Systems Title Insurance Title Insurance Training, Development Translation Services Travel Utility Video Production Water Services Website Consulting, Hosting, Design, Services Welcome Service Welcome Services Window Cleaning Window Treatments Wine Boutique Writing Full-time Employees Part-time Employees Step 3: Primary Contact First Name * Please add your first name. Last Name * Please add your last name. Phone * Please add your phone number. Email * Please add a valid email. Contact Preference Email Phone Address Same as Address in Step 1 Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Step 4: Comments/Questions Payment Option Bill Me Charge my credit or debit card Please complete the Captcha Back Next Submit Application Print Application