Fern Creek Community Association &
Chamber of Commerce

Your Community. Your Business.

Our Online Membership Application involves three easy steps ...

Filling out and submitting the online membership application (which is provided below).
Submitting your membership dues online using your American Express, Discover, Master Card or VISA credit card. We use PayPal as our online transaction provider. PayPal is used by millions of people worldwide and is safe, secure and easy! You do not need to open a PayPal account to submit your membership dues online.
Once we have received your online membership application and your dues, we will contact you to confirm your membership.

Contact our office if you wish to submit an application using a hand-written form, or you desire to pay by check or cash.

NOTES:

If your application is for a personal non-business, non-organization membership please select "Individual Members" for the Business Type.
If a selection in the Business Type drop-down box is not applicable to your membership application please select "Other" and then let us know what your type of busines is in the 'Comments' box.
* = required information to successfully submit your online membership application.
Dues for 'Individual Members' memberships are calculated after the 'Continue' button is clicked.

Today is:	05/18/2012
Your Business or Organization Membership Dues calculated for today will be:	$70.00
Your Membership Dues have been calculated as indicated to the right ------------->	Your business or organization membership fee has been calculated by pro-rating the annual fee to the remaining months of this year at the rate of $10 per month.
Referred By:
Organization Name: *
Address:*
Address:
City:*
State:*
Zip Code: *
Telephone:* Format xxx-xxx-xxxx
Fax: Format xxx-xxx-xxxx
Email:
Web Site: Format http://www.yoursite.com
Business Type: * If you select 'Individual' as your membership type, otherwise you are an individual and not a business or organization, your dues will be re-calculated to reflect that selection on the next page.
Key Representative #1
Title of Key Rep #1
Key Representative #2
Title of Key Rep #2
Comments: