Membership Application

Membership Application

The Darien Chamber of Commerce is delighted to welcome you to our organization!  After reviewing the 2013-2014 Membership Dues Schedule , please submit the form below to initiate your membership.  If you need further definition of the membership categories, please click on [Join the Chamber] in the left hand column.

New Members - Please include an additional $35.00 one-time-processing fee.

BUSINESS INFORMATION

This information will be viewable on the Chamber web site.

Optional - This email address will appear on the Chamber web site.

http://www.
OWNER INFORMATION

This information will NOT appear on the Chamber site.

This email will only be used for internal communication and will not appear on the Chamber web site.

If not the owner.

By typing your name in this field, you agree that you are authorized to commit to this membership

Type the characters you see in this picture. (verify using audio)
Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.