Join the Chamber

Please complete and submit the request form below and a membership representative will respond to you. If you need immediate assistance, please contact Amy Back, Director of Membership & Investor Relations, at 812.425.8147 or via e-mail at aback@ccswin.com.

MEMBERSHIP APPLICATION REQUEST Mr. Mrs. Ms. Miss Dr. Hon. Other Name: Company Name: Address: City State Zip Phone: Fax: Number of Employees: E-mail Address: Website: Type of Business: How did you hear about joining the Chamber of Commerce of Southwest Indiana?: Website Referred by a member Challenge Campaign volunteer Other Name of Referring Member: Questions/Comments: