Member - River Region Chamber of Commerce, LA

Member Application

Welcome and thank you for your interest in the River Region Chamber of Commerce serving the parishes of St. John, St. James and St. Charles.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

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.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Mailing Address

Same as 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.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your 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

Part-time Employees

Annual Investment *
Looks good!

Parish *
Looks good!

District *
Looks good!

Reason for Joining *
Looks good!

Year Business Started *
Looks good!

Actual Business Start Date *
Looks good!

Type Work *
Looks good!

Referred By *
Looks good!

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Phone *
Please add your phone number.

Cell Phone

Email *
Please add a valid email.

Contact Preference

Email

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.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Create Account

This Login is already in use

Login *
Please add your login username.

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.

Phone *
Please add your phone number.

Cell Phone

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact 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.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Comments/Questions

Payment Option

Bill Me

Please complete the Captcha

Back Next Submit Application Print Application

Pages

Members

Categories

Quicklinks

Events

Pages

Members

Categories

Quicklinks

Events

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

Create Account

Step 5:

Payment Option

Grow, Strengthen and Unify Business in St. James, St. John the Baptist and St. Charles parishes.