Member - Henniker Chamber of Commerce, NH

Please fill out the form below to become a member of the Henniker Chamber of Commerce. To pay by check please mail your check to: Henniker Chamber of Commerce, PO Box 885, Henniker, NH 03242. To pay by credit card, please contact treasurer@hennikerchamber.org. Thank you for becoming a part of the Henniker Chamber of Commerce.

Business Information

Company Name: *

Phone: *

Website:

Email:

Business Description (200 char max):

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:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

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:

Fax:

Email:

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Sole Proprietor/Individual (1-2 employees): $150.00
Choose your membership level based on number of full-time employees. Small Business (3-10 employees): $200.00
Choose your membership level based on number of full-time employees. Large Business (11+ employees): $300.00
Choose your membership level based on number of full-time employees.

Payment Option:

Bill me

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 2 plus 10?: *

Print Application

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Categories

Quicklinks

Events

Upcoming Events

Pages

Members

Categories

Quicklinks

Events

Member Application

Mailing Address

Address

Address

Upcoming Events