Member Application

Welcome to the ERC5 Application for Membership page! We are so grateful to have you as part of our Chamber representing businesses in East Longmeadow, Longmeadow, Hampden, Ludlow, and Wilbraham. After completing the application, it will be sent to the office and you will be contacted for check or credit card payment. After your initial payment, you will be invoiced for any future bills. A Membership Fee Schedule is at the end of the application, below is a snap-shot. Banks $400 per branch Business $300+$4.per fulltime employee 501c.3 $300.00 Please let us know if you need assistance or have questions phone (413) 224-2444 or email gbarone@erc5.com. On behalf of the entire organization, welcome to the ERC5! Grace Barone

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Minority

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

ERC5 Annual Membership Fee Schedule

See fee schedule and enter fee here:

Please enter your fee.

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Create Account

Step 4:

Billing Contact

Create Account

Step 5:

Membership Package

Payment Option

Become a member of the ERC5 Chamber today!

280 North Main Street

East Longmeadow , MA 01028

(413) 224-2444