Thank you for considering membership to the Mattoon Chamber of Commerce! By submitting this request form, you have taken the first step in becoming a member of the Chamber of Commerce. Upon receipt, your request for membership will be processed. Once the Board of Directors has reviewed the information submitted, you will be sent a Membership Application with the information you provided along with your annual dues amount. Please review the Membership Application carefully, providing a signature and date indicating your acceptance of the terms set forth. Upon receipt of your completed Application and Investment dues, the Chamber will process and complete the application process.


Company Name *

Year Established

Main Contact Person *

Street Address *

Billing Address *

City *

State *

Zip *

Phone Number *

Fax Number

Email Address *

Website Address

Number of Employees *

Description of Product or Service *

Private Information