Membership Form with Automatic Annual Renewal

Membership Form - Annual Auto Renewal

*Please Note: This form will setup your membership for auto renew every 12 months. By completing this form, you agree to allow annual payments to be automatically charged to your credit card every 12 months. If you would like to cancel, please contact our team at (734) 284-6000.

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Company Information
Company Name(Required)
Date Established
Billing Address (Please enter the address associated with your credit card)(Required)
Street Address Address Line 2 City State ZIP Code
Main Location (if different than billing address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email(Required)
Phone(Required)
Website
Tell Us About Your Business
Please give us a brief description (50 words or less) description of your company for our newsletter and online directory listing.
As Downriver’s premier employer and workforce advocacy organization, the SWCRC strongly values people of all backgrounds, regardless of race, color, gender, and creed. The SWCRC is committed to fostering an environment of understanding, empathy, and respect that will provide equal opportunity for all. To help us track demographic data, and to better serve our membership, please consider sharing your ethnicity.
Contact Information
Representative #1 Name(Required)
First Last
Representative #1 Job Title
Representative #1 Email
Representative #2 Name
First Last
Representative #2 Job Title
Representative #2 Email
Are you affiliated with any other chamber?
If yes, which Chamber?
Did you consult with someone from our membership team about joining SWCRC?(Required)
Please select a team member from our membership team.
Did someone refer you to SWCRC? Please enter their name.
Membership
Are you a new entrepreneur?
A new entrepreneur who has had an opening within the last 3 years.
Select Total Number of Employees(Required)
Select Number of Employees 10% Discount(Required)
Total
$0.00
Would you like to become an Affinity Member?
Affinity members have their logos featured on the homepage of SWCRC.com, linking to their company website. Further, member online directory listings are featured on the Downriver local online business directory page, www.SWCRC.com/Directory. $300 annually.
Would you like an enhanced listing?
Enhance your SWCRC website listing with a featured listing on the Downriver local online business directory page, www.SWCRC.com/Directory. $150 annually.
Please upload your organization's logo for your directory listing.
Max. file size: 1 GB.
Total
$0.00
Consent Agreement(Required)
- By completing this form, you agree to allow annual payments to be automatically charged to your credit card every 12 months. If you would like to cancel, please contact our team at (734) 284-6000.
Credit Card(Required)

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Membership Form - Annual Auto Renewal

Company Information

Contact Information

Membership