Registration Form

Thank you for your interest in Community Chamber Maps.
The lines marked with an (*) asterisk must be completed. In return you will receive an informational package replete with sample maps, project menu, Advertising Rate formula, Basic Rates and references. Thank You!

 
Chamber Name*   
Address*   
Mailing Address (if different)  
City*  
State*  
Zip*  
Phone*  
Fax*  
Email*  
Your Name*   
YourTitle *   
Should our Rep contact you *   
How many members do you have *   
Community approx. population *   
Do you presently have a map? *      Yes      No  
If yes, how many maps were printed?  
Done on glossy paper in full color?     Yes      No  
If yes, what is the size of your current map?   x
What map size do you need?   24" X 18"    24" x 27"    24" x 36"    Other   
When would you need new maps delivered?   Immediately    3 Months    6 Months    1 Year    other     
Approximately how many maps do you need printed? (You can order up to a two year supply.)
   5,000   10,000    15,000    20,000    25,000 
 30,000   40,000   50,000    Other 
Which program would you prefer?   Program #1    Program #2    Program #3  

Please place in order of importance.
Note: Choose three & enter the numbers below - # 1 being highest rating.

 
 
  Priority 1.
  Priority 2.
  Priority 3.
 


Please click on submit to receive your free estimate (Click on submit only once)
please type the code you see: (if the correct code does not work, try to refresh the page)
     
 
Privacy Statement: The information you enter on this form will be sent to Community Chamber Maps for the sole purpose of providing you a cost estimate and will not be shared or passed on to other parties.