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Homer Chamber Member Account Signup

All bold fields are required. An email address is highly suggested in order to receive leads & notifications.

Business Name
Contact Person	First Last
User ID, Password
Physical Address
City, State, Zip
Phone(s) (xxx-xxx-xxxx)	Tel Cell Fax TFree
Email Address
Web Site URL (must begin http://)
Business Categories
Site Business Listing
Locate Member Image	Note: Upload image on previous screen if missing.
Member Description (250 char max, remaining = )
Map Link URL (must begin http://)
Booking Site URL (must begin http://)
Chamber Guide Page
Area of Town
Speed Dial Number
Type 'no avail' to say Please Call vs Avail.
Provide secure payment information as needed below.
Credit Card	Type Number Exp Code
Name/Address On Card