Member - GWNC Chamber of Commerce

Business Information

Company Name: *

Phone: *

Website:

Email: *

Business Description (500 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

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Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Youtube

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook Twitter Youtube

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

0-5 Employees: $275.00
General Business 0-5 Employees 6-10 Employees: $280.00
General Business 6-10 Employees 11+ Employees: See fee schedule to determine the fee and enter it below.
General Business 11+ Employees Financial Institutions: See fee schedule to determine the fee and enter it below.
Banks, S & L, Credit Unions Lodging: See fee schedule to determine the fee and enter it below.
Lodging Shopping: See fee schedule to determine the fee and enter it below.
Malls & Shopping Plazas Non Profit: See fee schedule to determine the fee and enter it below.
Not for Profit & Service Clubs Schools: $335.00
Schools, Municipalities, Fort Drum Affilitiates: See fee schedule to determine the fee and enter it below.
Affiliates, Seasonal, Part Time If using fee schedule, enter fee here:

Additional Fees:

Application Fee

Additional Opportunities:

We will contact you with additional information.

Processing Fee
Semi Annual Payments - Price per billing

Payment Option:

Bill me Charge my credit or debit card

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