Member - Alamance Chamber - - Alamance County Area Chamber of Commerce

Thank you for your interest in the Alamance Chamber! Please complete the application below and submit. We will contact you shortly and answer any questions you may have.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook

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

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

New Membership Tier 1 Business Level: $300.00
New Membership Tier 2 Executive Level: $550.00
New Membership Tier 4 Chairman Level: $1,100.00
New Membership Tier 3 President Level: $800.00
Entrepreneur Level: $175.00
This level serves as a "trial" membership for new businesses that have applied for a business license within 18 months of applying for Chamber membership. Membership expires on the 1-year anniversary date. After this date, the business will need to renew their membership at a higher tier to continue receiving benefits of Chamber membership.

Payment Option:

Bill me Charge my credit or debit card

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Address

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