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Join the Chamber

Membership Application

 

The first step to accessing member benefits is to provide the information requested in this form. The information you submit will be reviewed by the Chamber staff and an invoice will be sent to you for payment. Your membership will be activated when payment is received. There is a $25 application fee.

 

StANDARD MEMBERSHIP LEVELS

Business Membership Investment – $400 (Suggested for business with 10  or less employees)

Executive Membership Investment – $600 (Suggested for business with 10+ employees) 

Corporate Membership Investment – $800 (Suggested for businesses with 50+ employees)

A subscription membership available for standard membership levels only. Pay a monthly fee with your one year membership commitment.

 

ENHANCED MEMBERSHIP LEVELS

Build the Chamber and the community while receiving enhanced benefits. Contact Holly Dougherty to discuss the benefits at 703-360-6925 or hollydougherty@mtvernon-leechamber.org

Bronze Strategic Partner – $1,000

Silver Strategic Partner – $2,000

Gold Strategic Partner – $3,500

Platinum Strategic Partner – $5,000

Chairman's Circle – $7,500

Company Information
Company:
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Address Line 1:
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Address Line 2:
City:
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State:
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Zip:
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Phone 1:
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Phone 2:
Fax:
E-mail:
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Website:
Bus. Category 1:
Full-time Employees:
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Part-time Employees:
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Business Description:
Member Groups
Let us know if your business qualifies as any of the below.
Create Member Account Login
Your member account allows you to update your information online via a secure login.
Admin E-mail:
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Password:
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Verify Password:
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Contacts
Primary Contact
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First Name:
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Last Name:
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Suffix:
Familiar Name:
Title:
Create Login
Your member login allows you to update your information online and register for events.
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Password:
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Verfiy Password:
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Networking Groups
Please mark if you are interested in either of these networking groups
Billing Contact
 
Additional Company Representatives
Additional Representative
 
Additional Representative
 
Annual Membership Investment
(Suggested for businesses with 10 or less employees)
$400.00
(Suggested for businesses with 10 - 50 employees)
$600.00
(Suggested for businesses with 51+ employees)
$800.00
$1,000.00
$2,000.00
$3,500.00
$5,000.00
$7,500.00
Application Fee:
$25.00
Total:
$0.00
Security Code:
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