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Join The Chamber - Membership Application

WACC Membership Application

wetumpkachamber Membership App 138.2KB Dec 03, 2018 3:32 PM

WACC Membership Application

If you would like to pay online for your membership dues, please click on this link:
Member Application
Thank you for your interest in becoming a Chamber member! Please fill out the following form for more information. Once submitted, Chamber staff will contact you to discuss your business and Chamber membership. Please note that even though the "Bill Me" option is automatically selected, payment information will be discussed during follow up.

Business Information
Company Name: *
Phone: *
Website:
Email: *
Business Description (200 char max): *
Directory Category: *
Comments / Questions:
Referred By:
Physical Address
Line 1: *
Line 2:
City: *
State: *
Postal Code: *
Country: *
Primary Contact Information
First Name: *
Last Name: *
Title:
Phone: *
Cell Phone:
Email: *
Contact Preference:
Email Phone
Billing Contact Information
Same as Primary Contact
First Name: *
Last Name: *
Title:
Phone: *
Cell Phone:
Email: *
Contact Preference:
Email Phone
Membership Options
Seniors                                                             $50 (Over 65 years of age)
Individual                                                          $100 (Not affiliated with a company)
Small Business                                                $175 (Less than 3 employees, Churches, Non-Profits, Civic Clubs)
Bronze Level                                                    $300 (Less than 15 employees, Schools or Licensed Professional Occupations)
Silver Level                                                       $450 (Less than 50 employees)
Gold Level                                                         $675 (Less than 100 employees)
Platinum Level                                                  $800 (100+ employees, Banks, Utilities)
CHALLENGER LEVELS
Catalyst Level                                                   $1,500
Keystone Level                                                 $3,000
Chairman's Circle                                             $5,000
Legacy Level                                                     $10,000

Payment Option:
Bill me





Thank you for joining the Wetumpka Area Chamber of Commerce!