Waupaca Area Chamber of Commerce

Login Details

Company/Individual Name *

Email *

Password *

Confirm Password *

Directory Category *

Add Primary Company Representative: (uncheck if you want to skip the main representative information section.)

Primary Representative Details (You may add more later.)

First Name *

Last Name *

Title

Same as Company Address

Email*

Password *

Address Line 1 *

Address Line 2

City *

State*

Zip *

Country *

First Name of Person Signing Up *

Enter the person's first name, that's registering here today!

Last Name of Person Signing Up *

Enter the person's last name, that's registering here today!

Primary Phone *

SPAM PROTECTION: Just type in the numbers after selecting your country code: 8774545563

Physical Address *

Enter the Physical Address to the business/individual!

Enter the Suite, Apartment or Building Number here!

Enter the Physical Address City/Town to the business/individual!

Enter the Physical Address State to the business/individual!

Enter the Physical Address Zip/Postal to the business/individual!

Enter the country code i.e. US to the business/individual!

Mailing Address Same as Physical Address

Billing Address Same as Physical Address

Description

Short Description

Full Description

Image

Avatar/Company Logo

Website Url

Website

Add the COMPLETE URL to your Investor's website url
only if you know them i.e. https://www.jagdeno.com

Social Links

Facebook

Twitter

Instagram

TikTok

Other

Other url may be a video url or site link.

Add the COMPLETE URL to your Investor's social media
only if you know them i.e. https://www.facebook.com/jagjourneyllc

Additional Information

Billing Contact Email (if different than primary contact)

How many full-time employees?

Year Established

Billing Contact Email (if different than primary contact)

How many part-time employees?

Member Registrations

Login Details

Primary Representative Details (You may add more later.)

Company/Individual Address

Additional Information