Membership Application and Renewal - Alamance County Area Chamber of Commerce**

The chamber is a customer-friendly one stop shop for supporting business growth. Chamber membership offers you a number of unique services and programs to help you improve your bottom line. Membership dues correspond directly with your business type and number of employees. A chamber representative will contact you with your total membership investment within the week. Contact the chamber for additional questions at 336-228-1338.

The transaction will not be processed until a chamber executive informs you of your membership dues amount. Remember, this investment is tax deductible as a necessary business expense. This is Your Connection to Success

Membership Listing Information


Contact Information:

Name of Firm:	*
Contact Name:	*
Address:	*
City:	*
State:	*
Zip:	*
Telephone Number:	*
Fax Number:
Web Site:
Email Address:


Mailing Address (if different):

Address:
City:
State:
Zipcode:

Company Information:

Type of Company:

Total number of full-time Employees:

Total number of part-time Employees:

If restaurant, please list number of chairs:
If a hotel, please list the number of rooms:
If a professional practice, please list the number of partners:


Names & titles of representatives to receive complimentary Chamber mailings.

Name #1:		Title:
Name #2:		Title:
Name #3:		Title:



Briefly describe your business, for use in the Chamber's Newsletter.

*

Payment Method

Pay By Check


Name on Card:	*
Credit Card Type:	*
Expiration Date:	/ *
Credit Card Number:	*
Security Pin:	*


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