JOIN THE CHAMBER Chamber Membership Investor and Premier Members Get Involved Join AYP COMMUNITY RESOURCES Live in Ankeny Visit Ankeny Work in Ankeny Find A Member Member Directory Scholarships Chamber Map Business Resources Small Business Resources Members Login Connect with Elected Officials Certificates of Origin Events Events Become a Sponsor Submit an Event Ankeny Chamber Summerfest News News About Chamber Board & Staff Ambassadors AYP Chamber Store Contact JOIN THE CHAMBER Chamber Membership Investor and Premier Members Get Involved Join AYP COMMUNITY RESOURCES Live in Ankeny Visit Ankeny Work in Ankeny Find A Member Member Directory Scholarships Chamber Map Business Resources Small Business Resources Members Login Connect with Elected Officials Certificates of Origin Events Events Become a Sponsor Submit an Event Ankeny Chamber Summerfest News News About Chamber Board & Staff Ambassadors AYP Chamber Store Contact Application To view this form, please enable JavaScript in your browser. Organization Information (to be displayed online) Business Name Business Description (120 - 150 word description for new member advertisement in the Chamber newsletter, the Ankeny Business Journal) Address 1 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Phone Website Email Date Established Main Contact First Name Last Name Title Phone Email Social Media Facebook Twitter LinkedIn YouTube Instagram Pinterest Additional Contacts Contact 1 First Name Last Name Title Email Address Contact 2 First Name Last Name Title Email Address Contact 3 First Name Last Name Title Email Address Contact 4 First Name Last Name Title Email Address Contact 5 First Name Last Name Title Email Address Contact 6 First Name Last Name Title Email Address Contact 7 First Name Last Name Title Email Address Contact 8 First Name Last Name Title Email Address Contact 9 First Name Last Name Title Email Address Contact 10 First Name Last Name Title Email Address Membership Investment Membership Type Select one... General Membership Professional Listing Civic Organizations, Associations, and Churches Financial Institutions Hotels & Motels Primary Directory Category None *None Advertising Agribusiness Air Service Ambassador Animal Archival Products Audio-Visual Automotive Awards AYP Brewery - Winery Business Products Business Services Children Cleaning-Maintenance Clock Repair Communications Computer Construction Contractor Dance-Gymnastics-Cheerleading Data Day Care Delivery Dental Design Services Distributors Drug & Alcohol Testing Education Employment Entertainment-Recreation Environmental Events & Party Supplies Facilities Finance Fitness Food-Beverage Freelance Funeral Services Government Handyman Health & Beauty Health Care - Health Care Providers Hotel-Motel Human Services Independent Consultant Individual Membership Industrial Insurance-Finance International Internet Provider Landscape Language Translator Lawn Maintenance Legal Services Libraries-Museums Locksmith Mailing-Shipping Manufacturing Marketing Mental Health Military Moving Music Organizations Parks & Campgrounds Personal Assistance Photography Political Pressure Washing Printing Private Clubs Public Speaker Publications Real Estate Religious Affiliations Repair Restaurants Retail-Shops-Stores Scrap Yard Security-Safety Senior Signage Small Business Assistance Snow Removal Storage Technology Transportation Travel Trucking Utilities Welcome Services Wholesale Additional Directory Categories Select additional directory categories below by holding the "CTRL" key none Number of Full Time Employees Millions in Assets $34 Million of Greater Assets or Deposits at said location. Minimum of $1,000. Maximum of $4,050. Web Listing Directory Enhancement - 50 word description $175 one time fee to include a 50 word description of your business on your website listing and enhanced listing level. Web Listing Directory Enhancement - Logo/Photo $175 one time fee to include your business logo or professional photo on your website listing and enhanced listing level. Annual Membership Investment Additional Items One-Time Application Fee Total The contents of this box are for testing purposes. This box will be removed when the form goes live. Additional Categories Cost Number of Part Time Employees Tax Number of Rooms Number of Seats Number of Associates Number of Locations Additional Item 3 Address 1 Address 2 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Full-Time Employees Part-Time Employees Hotel/Motel Rooms Restaurant Seats Additional Associates Additional Associates Cost Additional Locations Additional Locations Cost Assets Assets Cost Additional Categories Number Of Additional Categories Additional Categories Cost Additional Item 1 Cost Additional Item 2 Cost Additional Item 3 Cost Additional Item 4 Cost Additional Item 5 Cost Additional Item 6 Cost Additional Item 7 Cost Additional Item 8 Cost Additional Item 9 Cost Additional Item 10 Cost Annual Dues (charged to card) Revenue Item Tax (charged to card) Fee (charged to card) Temp Value For DropDown 1 MembershipType Additional Item 4 Additional Item 5 Additional Item 6 Additional Item 7 Additional Item 8 Additional Item 9 Additional Item 10 Payment Type Credit Card Check NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks. Additional Information Please select all that apply. Veteran Owned Business Minority Owned Business Woman Owned Business How did you hear about the chamber? (Check all that apply) Chamber Member Member Name Internet Previous Member Other For what reason(s) are you joining the chamber? (Check all that apply) Marketing Website Legislative Actions Professional Growth Networking Keep Informed on Local Issues Committees Education Benefits Discussion Publications Events Other Credit Card Information Credit Card Type MastercardVisaDiscoverAmex Credit Card Number Name on Card Security Code Valid Through 01 02 03 04 05 06 07 08 09 10 11 12 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Phone Credit Card Email Address Please click submit only one time. The transaction may take several seconds.