Pacific City - Nestucca Valley Chamber of Commerce

Member Information Form

Please fill out the information below if you are interested in joining the Pacific City - Nestucca Valley Chamber of Commerce. We will contact you to complete activation of your membership.

The Chamber offers three types of memberships: individual members - $40, non-profit members - $75, and businesses - $150.

Alternatively, you may download an application (PDF) to print and mail to the Chamber with your check.

Name* Tagline Owner/Contact Physical Address City State Zipcode Mailing Address City State Zipcode Phone Number Fax Email Web Site Please describe your business List this business under the following category in the Business Directory and Website: List this business under these additional categories ($15 each): Would you like a coupon in the Business Directory ($100/each per year)?

•  Yes
•  No

Are you interested in having advertising space on the Chamber Kiosk located at the Cape Kiwanda parking area?

•  Yes
•  No

I am interested in serving on a committee:

•  Volunteers
•  Membership Events
•  Decorations
•  Event Planning
•  Advertising

I would like to help plan or work at the following events:

•  Fourth Of July Fireworks
•  Concessions For Events
•  Clovers Day
•  Dory Days
•  Blessing Of The Fleet
•  Booths At Fair And Expo
•  Annual Membership Banquet

Are you interested in helping to staff the Visitor Info Center in Cloverdale?

•  Yes
•  No

I will contribute to the following to help our Chamber of Commerce:

•  Donations For Special Events
•  Supplies (paper/envelops/etc.)
•  Service (printing/signs/etc.)

Do you have any suggestions for meeting discussion topics? Do you have any suggestions for guest speakers or topics for guest speakers? Do you have any suggestions for new events? Please help us prevent spam by writing the answer to the formula in the box below:

* Indicates required fields.