Member Application
Thank you for your interest in joining our chamber. Below are just a few of the benefits of joining our chamber! --Networking --Visibility --Credibility by Association --Advocacy --Knowledge
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
Email:
Business Description (200 char max):
Directory Category:
--- Select Primary Category ---
Accountants
Advertising/Promotions
Agriculture
Antiques/Estate Sales/Consignments
Apartments
Architectural Design & Building
Arts & Crafts
Arts, Entertainment and Recreation
Attorneys
Automotive
Banks & Credit Unions
Beauty Salons/Spas
Books & Stationery
Car Rentals
Carpets & Interiors
Childcare
Childrens Clothing/Toys
Chiropractors
Churches
Cleaning Services
Clothing/Shoes
Community Organizations
Computers & Telecommunications
Construction Management
Consultants
Contractors
Convenience Store/Gas Station
Counseling
Country Clubs
Dance
Dental
Drug & Variety Stores
Dry Cleaners
Education
Elected Officials
Election Candidates
Electronic Repair
Entertainment
Equipment Rental/Services
Event Planning
Financial & Investment Services
Fishing
Fitness
Florists
Food & Beverage/Catering
Forestry
Funeral & Cremation Services
Gifts & Specialty Items
Golf Course
Government
Graphic Design
Grocery Stores
Gymnastics
Hardware
Health Insurance
Healthcare/Long Term Care
Holistic Health
Home Builders
Home Furnishings
Hospitals & Clinics
Hotels/Motels
Human Resource Services
HVAC (Heating, Ventilation and Air Conditioning)
Individual or Family Member
Insurance
Interior Design
Jewelry
Landscaping
Legal Services
Liquor Store
Mail Services/Shipping
Manufacturing & Production
Marketing
Massage Therapy
Medical Supply
Medical, Dental & Nursing Care
Mortgage Banking
Office Furniture & Supplies
Optical Services
Payroll
Personal Services
Pets
Photographers/Photo Finishing/Framing
Plumbing
Press/Publications/Radio
Printing & Typesetting Services
Promotional Products
Property Leasing & Management
Public Relations
Real Estate Services
Resorts
Restaurants
Retirement Living
Security Services
Shopping Centers
Signs & Banners
Smoke Shops
Sporting Goods
Storage
Take Out/Curbside Delivery
Tanning Salon
Tax Preparation
Taxi
Telecommunications
Title Services
Trophies and Plaques
Utilities
Veterinarians
Wholesale
Employees:
*
Full-time
Part-time
Comments / Questions:
Volunteer for Events?:
Fall Festival Banners/Ads/Pageants Sponsorship:
Yes
No
Golf Tournament Sponsor/Play:
Yes
No
Location for meetings or after hours events:
Yes
No
Donating food costs for meetings or after hours events:
Yes
No
Chamber banquet sponsorship:
Yes
No
Physical Address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Mailing Address
Same as physical address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Primary Contact Information
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Fax:
Email:
Contact Preference:
Email
Phone
Login:
*
Password:
*
Social Networking:
LinkedIn
Facebook
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
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
Address
Same as Member Address
Line 1:
Line 2
City:
State:
Postal Code:
Country:
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
Business: 01-05 Employee Membership
:
$275.00
Membership for businesses with one (1) to five (5) employees
Business: 06-10 Employees
:
$325.00
Membership for businesses with six (6) to ten (10) employees
Business: 11-20 Employees
:
$425.00
Membership for businesses with eleven(11) to twenty (20) employees
Business: 21-50 Employees
:
$525.00
Membership for businesses with twenty one (21) to fifty (50) employees
Business: 51+ Employees
:
$625.00
Membership for businesses with more than fifty one (51) employees
Individual Membership - No Business Benefits
:
$50.00
This is a membership for individuals. This membership allows you personally to receive Chamber discounts, but not your business.
Family Membership - No Business Benefits
:
$75.00
This is a membership for a family. This membership allows the family to receive Chamber discounts, but not for any owned businesses.
Non Profit Membership
:
$100.00
If your organization is recognized as a non profit organization.
Payment Option:
Bill me
Please scroll down to view the entire policy and then click Accept.
Decline
I have read and accept the
privacy policy
of Coweta Chamber of Commerce. I grant Coweta Chamber of Commerce permission to contact me regarding my account, news, updates, and offers.
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