Membership Application

If you were given a code to sign up for an organization, enter it now and hit the submit button


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You must create a password that will be used by your members to join your organization. You will be given instructions at the end of the member application on what information to pass onto your members, and how they can join.

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Please enter the Username/Password you would like to use to login to this website.

  • Your Username must be unique and must be at least 6 characters.
  • Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.
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Women's Health


































































































































































 
 
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Select additional contact types to include as part of your membership:

 

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Enable Automatic Renewals? *
Select "Yes" to enroll in automatic membership renewal. The payment method submitted with this form will be used for your future membership renewals. You can change the automatic renewal setting or saved payment method at any time in either the "Payment Methods" or "Renewal Settings" where you edit your profile.



 


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1463 Oakfield Dr., Suite 134 | Brandon, FL 33511
(813) 689-1221 | info@brandonchamber.com
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