Membership Application

Select An Option

First Time Large Business Membership Dues $505 Annually

First Time Small Business Membership Dues $320 Annually

Business of 9 or less FULL TIME employees at the location that is applying for membership.
Larger organizations (I.E Banks, Franchises ,Chains, etc etc.) may apply using small business provided the specific location is 9 or less FULL TIME employees.
THIS SPECIFIC LOCATION APPLYING IS THE MEMBER!
- Secondary/additional Locations that are not registered as a member will not have access to Patchogue Chamber Resources.
Full access to all rights, privileges and resources provided by the chamber.
- Some resources and opportunities may require payment of additional fees.
- New Member Small Business Application Fee ($300.00 IF PAID BY CASH OR CHECK)

First Time Civic Membership Dues $175 Annually

One time only fee
Used for new member application payment only (Civic Membership)
Organizations must provide poof of nonprofit/ not for profit status
Individuals represent themselves in non business capacity.
- Retain all rights and privileges of businesses members with following exceptions:
- Can not promote their company or employer
- Do not have access to business member resources
New Member Civic Member Application Fee ($150.00 IF PAID BY CASH OR CHECK)

First Time Civic Membership Dues Individual $175 Annually

One time only fee
Used for new member application payment only (Civic Membership)
Organizations must provide poof of nonprofit/ not for profit status
Individuals represent themselves in non business capacity.
- Retain all rights and privileges of businesses members with following exceptions:
- Can not promote their company or employer
- Do not have access to business member resources
New Member Civic Member Application Fee ($155.00 IF PAID BY CASH OR CHECK)

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist