Member Application

Welcome. We are so excited that you are joining the Middlesex West Chamber of Commerce. Below, enter the information into the form for each section and then click next. If you have a discount code, please put the code in the comments/questions section if you are choosing Bill Me. If you are paying by Credit Card, After you choose a Membership Package and Payment Option, click Submit. You will then be taken to a page where you can add the discount code as well as your credit card information. For more information about the types of payment options, auto-pay, and renewal information, please use the link below. It is a great resource for new members. https://bit.ly/JoinMWCOC Thank you so much for joining! Jenna Amara

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.

Step 2:

Additional Info
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Apply
Please complete the Captcha
Please read and accept the privacy policy before continuing.