Fairfield Area Chamber of Commerce

Joining is a piece of cake. Just fill out the below application and send it in and we’ll contact you within 24 hours to verify your new membership. Questions? Give us a call at 641.472.2111 or stop in the office at 204 West Broadway and we’ll get you on the way to the membership experience.

Note: All fields are required for this form. Please be careful to fill out each one.

Firm Name:
Address:
City:
State:
Zip:
Owner:
Contact/Manager:
Business Phone Number:
Fax Number:
Email:
Website:
Description of Business:
Business Type:
Employees:	FT: PT:
Membership premiums are determined based upon industry and number of full-time equivalent employees. The Chamber will be in contact with you shortly after receipt of this application to discuss your individualized rate and to confirm your membership in the Chamber. Payment of membership dues is deductible for most Chamber members as an ordinary and necessary business expense. Contributions or gifts to the Chamber are not deductible as charitable contributions for federal income tax purposes. Please consult your tax professional to determine your deduction eligibility.