Fill in the form below and click the "submit" button. A representative of the SRCC Member Services Department will get in touch with you soon to complete the registration process. After you hear from our office, you can use the "Members Only" Web pages to submit changes to your record.

For a downloadable version of our membership application, CLICK HERE. Please fill the application out and return to the SRCC headquarters at your convenience.

NOTE: "Individual" memberships are for persons with no business affiliation or of retired status. One person with a business is considered a "sole proprietor" membership. Please refer to the dues schedule for specific pricing or call the SRCC at 989-723-5149 for more information.
 
   
Organization Information
Business Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Chamber "Key Contact"
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Additional Information
Date business was established
Reason for joining:
Please provide up to 16 keywords to aid people in finding your business. Single words seperated by a comma (example: shoes, boots, shoe repair, owosso, corunna).
Please provide a brief description of your products and services:
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**
Number of Full Time Employees:  
Number of Part Time Employees:  
$ 
   
$ 
Total: $ 
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
$ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Credit Card Type *
Credit Card Number   
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.