Member

Please fill out the form below to join the Clovis/Curry County Chamber of Commerce. If you apply online you will be required to pay with a credit card. You can also print the application and email the application to events@clovisnm.org. Membership is subject to subject final approval by the Board of Directors. If you have any questions, please call 575.763.3435.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category:

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook Twitter Instagram

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Password:

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Print Application

Member Application

Mailing Address

Address

Address