Membership Application (PDF)
Take advantage of the Yellow Spring Chamber's benefits, resources, and much more by becoming a member today!
Fill out the form below to submit your application online (required fields are marked by an asterisk *):
* New or Renewing Member:
New MemberRenewing Member
* Business or Organization Name:
* Physical Business Address:
Mailing Address (if different):
* City: * State: * Zip:
* Primary Contact:
* Phone: Fax:
* Email Address:
Website (linked to chamber):
* Business Description:
If other, please explain:
* Years in Operation:
* Number of Full-time Employees:
Why did you join the chamber?
Are you interested in being on a Chamber Committee?
Are you interested in volunteering for the Chamber?
Are you interested in learning more about Chamber Benefits?
Are you interested in being part of our Chamber Benefits Package by offering discounts to Chamber members?
The Primary Contact Person is the Designated Voting Representative for Voting Members. Please designate an Authorized Voting Alternate.
Voting Alternate Name/Title:
Type the text from image above: