Application For Membership

Please fill out this form as completely as possible. But don't get too worried about it. Only a few fields are requried. They are marked with ***. We'll contact you if we need more information. To save us all some time, please try to complete the items marked with ++.

*** Required fields.        ++ These fields are important, but not required


* Company Name
* First Name
* Last Name
Title
* Phone
+ Fax
* email

+ Street Address 1
+ Address 2
+ City
+ State
+ Zip Code

Mailing Address is needed only if it is different from your Street Address.

Mailing Address 1
Mailing Address 2
Mailing City
Maining State
Mailing Zip Code

+ Web Site Address

+ Primary Business Type

Select the primary type for your business or organization.
Business Description

If you couldn't find the right category above, please give us a description or some keywords for your business.

Directory Information

Give a brief description of your business or product for use in the directory or web site.

++Choose a Membership Category:


This is based on the Business Category and the Number of Employees. The number of representatives included with membership depends on your selection.

***Be sure to add $25 application fee to the category you choose below. If you have any questions call 813-627-8686 ***

Business Categories
Choose Your Membership Category
Number of Employees / Dues / Reps Included

Category 1 Businesses: retail, service, transportation, communications, real estate, mortgage brokers, office operations.....

1-10
$100
2 reps
11-50
$105
3 reps
51-100
$115
4 reps
over-100
$120
4 reps

Category 2, Professionals: Applies to Professionals such as: veterinarians, physicians, dentists, land developers, attorneys, architects, CPA's...


1-10
$100
2 reps
11-50
$105
3 reps
51-100
$115
4 reps
over-100
$120
4 reps

Category 3, Banks, Utilities: Applies to all utilities, banks, savings and loans, mortgage firms, lending companies, etc.

Any Number of Employees
$100
4 reps

Hotels/Motels Apartments/Condominiums Mobile Homes/RV Parks

1-25 Rooms/Units/Lots
$100
4 reps
over-25 Rooms/Units/Lots
$150
4 reps

Hospitals/Nursing Homes:

Any Number of Employees
$150
4 reps

Non Profit Organizations: Churches, other non-profits including Hillsborough County Schools.

 
$30
2 reps

Individual Memberships: Individuals (18 years of age or over) and not holding a business or occupational license in their name.

 
$30
1 reps

Retirees: Any Individual legally retired.

 
$20
1 reps

Other Representatives:
(Number of reps included depends on the member category you selected above.)
Rep 2 First Name
Rep 2 Last Name
Rep 2 Title
Rep 2 email
Rep 3 First Name
Rep 3 Last Name
Rep 3 Title
Rep 3 email
Rep 4 First Name
Rep 4 Last Name
Rep 4 Title
Rep 4 email

Sponsor: Who referred you to The Chamber?


  • After submitting this application, please send your dues to:

    Online Membership


    The Greater Seffner Area Chamber Of Commerce, Inc.
    P.O. Box 1920
    Seffner, FL, 33583-1920

    Be sure to write the business name and the new member's name on your check.

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