Indiana Chamber Executives Association
  • Membership
    • Member Directory
    • Annual Awards >
      • 2024 Award Nominees
      • 2023 Awards
      • 2022 Awards
      • 2021 Awards
      • 2020 Awards
    • Leadership Circle Investors
    • Membership Application
    • Member Login
  • Resources
    • Resource Library
    • Board Resources
    • Executive Consultation
    • Hoosier Chamber Academy >
      • Hoosier Chamber Academy Class of 2021-22
      • Hoosier Chamber Academy 2023
      • Hoosier Chamber Academy Class of 2020-21
    • Careers
    • COVID-19 Resources For Chambers & Businesses
    • ICEA Board Resource Portal (log-in for ICEA Board)
  • Professional Development
    • All Things Chamber Webinar Series (ICEA)
    • Professional Consultation
    • Scholarships
    • Professional Designation
  • Events & News
    • Calendar
    • Annual Conference >
      • Annual Conference
      • 2024 Conference Attendees
    • Hoosier Chamber Academy
    • Chamber Day At The Statehouse
    • Leadership Summit
    • National Civics Bee
    • News
    • Blog
  • About Us
    • Leadership Team
    • History
    • Contact
  • Membership
    • Member Directory
    • Annual Awards >
      • 2024 Award Nominees
      • 2023 Awards
      • 2022 Awards
      • 2021 Awards
      • 2020 Awards
    • Leadership Circle Investors
    • Membership Application
    • Member Login
  • Resources
    • Resource Library
    • Board Resources
    • Executive Consultation
    • Hoosier Chamber Academy >
      • Hoosier Chamber Academy Class of 2021-22
      • Hoosier Chamber Academy 2023
      • Hoosier Chamber Academy Class of 2020-21
    • Careers
    • COVID-19 Resources For Chambers & Businesses
    • ICEA Board Resource Portal (log-in for ICEA Board)
  • Professional Development
    • All Things Chamber Webinar Series (ICEA)
    • Professional Consultation
    • Scholarships
    • Professional Designation
  • Events & News
    • Calendar
    • Annual Conference >
      • Annual Conference
      • 2024 Conference Attendees
    • Hoosier Chamber Academy
    • Chamber Day At The Statehouse
    • Leadership Summit
    • National Civics Bee
    • News
    • Blog
  • About Us
    • Leadership Team
    • History
    • Contact

Membership Application - Indiana Chamber Executives Association

'ICEA membership proves to be the most beneficial investment that our chamber makes each year.'

That's what one chamber president had to say.  Investing in ICEA membership pays off for your chamber's professional staff. Don't delay another day - complete the membership application and return it with payment ASAP to start tapping into the vast array of benefits offered only to ICEA members.
 
   
Organization Information (to be displayed online)
Organization Name * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Address 1 * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information
City * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
State *
Zip * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Phone * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Fax Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Website Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Main Contact
First Name * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Last Name * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Address 1 * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information
City * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
State *
Zip * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Phone * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email * Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Staff Positions Included in this Membership
First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Year Began Chamber Career Required Please enter a valid number Please enter a valid date Please enter valid credit card information
First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Year Began Chamber Career Required Please enter a valid number Please enter a valid date Please enter valid credit card information
First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Year Began Chamber Career Required Please enter a valid number Please enter a valid date Please enter valid credit card information
First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Year Began Chamber Career Required Please enter a valid number Please enter a valid date Please enter valid credit card information
First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Year Began Chamber Career Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Billing Address (if different)
Street Required Please enter a valid number Please enter a valid date Please enter valid credit card information
City Required Please enter a valid number Please enter a valid date Please enter valid credit card information
State
Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Mailing Address (if different)
Street Required Please enter a valid number Please enter a valid date Please enter valid credit card information
City Required Please enter a valid number Please enter a valid date Please enter valid credit card information
State
Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Information
Referring Chamber Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Year You Began Paid Chamber Work Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Membership Investment
Investment for ICEA Membership: *
(Cost of membership is based upon
Chamber annual operating budget)
Primary Directory Category *
Number of Chamber Members:  
Chamber Budget:  
   
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Part-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Hotel/Motel Rooms Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Restaurant Seats Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Associates Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Associates Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Locations Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Locations Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Assets Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Assets Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information
AdditionalCategories Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Categories Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information
NumberOfAdditionalCategories Required Please enter a valid number Please enter a valid date Please enter valid credit card information
additionalItem1Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Annual Dues (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Tax (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Fee (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information
tempValueForDropDown1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Additional Directory Categories
  • Primary Directory listing is complimentary
  • Up to two additional Directory listings are complimentary
  • After two, additional Directory listings are $35 each
**Hold CTRL on your keyboard to select multiple categories**
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Enhanced Membership ($50):
$ 
$ 
$ 
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Credit Card Type *
Credit Card Number *  Required Please enter a valid number Please enter a valid date Please enter valid credit card information
Name On Card Required
Security Code Required
Valid Through
Credit Card Address 1 Required
Credit Card City Required
Credit Card State
Credit Card Zip Required
Credit Card Phone Number Required
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.


 Copyright Indiana Commerce Executives Association. All Rights Reserved.
P.O. Box 377 | Hanover IN /47243  
Phone: (812) 871-3000 | [email protected] | sitemap
Picture