Member Application

We would love to have you as a part of our organization.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

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

City

State

Postal Code

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords (enter a space between words)

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

MBE Minority Business Enterprise Certified: A Minority Business Enterprises is a business that is at least 51% owned and controlled by one or more minority persons. *

Looks good!

Women Business Enterprise (WBE) Certified: A Woman Business Enterprise is a business that is at least 51% owned and controlled by a woman. *

Looks good!

WOSB Women-Owned Small Business: Provisions regulated by the SBA; A Woman Business Enterprise is a business that is at least 51% owned and controlled by a woman; (25 or fewer employees). *

Looks good!

EDWOSB: A certification for woman-owned business owners who qualify as economically-disadvantaged. *

Looks good!

Women Owned Business Not Certified; 51% Woman Owned business but not certified with the government. *

Looks good!

VOSB Veteran Owned Small Business: Provisions regulated by the SBA; The company is at least 51% owned, operated and controlled by a veteran (25 or fewer employees). *

Looks good!

SDVOSB: Service-Disabled Veteran Owned Business Certification: Provisions regulated by the SBA; The company is at least 51% owned, operated and controlled by a service-disabled veteran (25 or fewer employees). *

Looks good!

Self Declared Minority Owned Business *

Looks good!

Other Certifications:

Nonprofit Organization *

Looks good!

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Facebook

Twitter

YouTube

Instagram

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Create Account

Password *

Please add your login password.

Step 5:

Comments/Questions

Payment Option

Bill Me

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Payment Option

300 S Providence Rd
Columbia, Mo 65203

Quick Links

Chamber Membership