Thank you for your interest! Please complete the following member information.

Member Application

Welcome and thank you for your interest in joining the Greater New Hyde park Chamber of Commerce.Once we review your application, someone from the chamber will contact you with more information.

Business Information

Company Name: *

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Phone: *

Website:

Directory Category: *

Employees:

Full-time Part-time

Comments / Questions:

Referred/Sponsored By:: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Payment Option:

Bill me

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