Membership Application Please fill out the information below to begin the process of membership in the Souhegan Valley Chamber of Commerce. Descriptions of membership levels and dues can be found here. Date: Referred By: Business/Organization Name: Street Address: Mailing Address: City / State / Zip: Business Phone: FAX: Web Site Address Primary Contact Person: Primary Contact Email: (Secondary Contact Person Will Receive a Copy of Mailings) Secondary Contact Person: Secondary Contact Email: Brief Description (50 char max): Longer Description (500 characters maximum): Type of Business/Organization: Select One Owner/Operator/Individual Business, Professional Associations, 2 – 5 employees Business, Professional Associations 6 – 20 employees Business, Professional Associations 21 – 50 employees Manufacturers, Utilities, & Large Corporations, 51 or more employees Banks & Credit Unions Non-Profits (applies to 501C3′s only) with an annual budget under $250,000 Non-Profits (applies to 501C3′s only) with an annual budget over $250,000 Civic, Towns, Schools Friend of the Chamber Membership Level: Select One Base Premier Would you like 2nd business listing? (same business, different address)? Yes No Do you give a discount to other Chamber members? Yes No Do you give a discount to Seniors? Yes No You may print a copy of the completed form to mail with your membership dues OR click on the SUBMIT button below. Please submit your dues to Souhegan Valley Chamber of Commerce, 69 Route 101A, Amherst, NH 03031. Your membership will not be processed until payment is received.