Member Application

Business Information

Company Name: *

Phone: *

Business Category:

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

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Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

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Line 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State / Province:

Zip / Postal Code:

Country:

Membership Options

Membership Package: *

Civic: $110.00
Individuals, religious institutions and civic, fraternal and service organizations Small Business: $245.00
All businesses, profit and not for profit with 9 employees or less Large Business: $430.00
All businesses, profit and not for profit with 10 or more employees.

Payment Option:

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Information

The Chamber is consistently evolving by discovering then providing business solutions, educational resources, networking, marketing and advocacy.
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Testimonials

I chose Patchogue as the town to start my new business, first and foremost, because I have lived here all my life and have seen Patchogue through its ups and downs. I have always been proud to call Patchogue my home and I am thrilled to see the rebirth of my hometown over the past few years through the expansion of more restaurants and specialty shops..