Member Application Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): Directory Category: * --- Select Primary Category --- Accountants Advertising/Promotions Agriculture Apartments Art Galleries Arts & Crafts Assisted Living Attorneys Automotive Banks & Credit Unions Childcare Chiropractors Churches Cleaning Services Clothing/Shoes Community Organizations Construction Management Consultants Contractors Counseling Country Clubs Dental Drug & Variety Stores Dry Cleaners Education Elected Officials Employment Agencies Employment Agencies Entertainment Event Planning Financial & Investment Services Fishing Fitness Florists Food & Beverage/Catering Forestry Funeral & Cremation Services Gifts & Specialty Items Government Graphic Design Grocery Stores Hardware Home Furnishings Hospitals & Clinics Hotels/Motels Insurance Jewelry Landscaping Legal Services Liquor Store Mail Services/Shipping Manufacturing & Production Marketing Medical Supply Medical, Dental & Nursing Care Mortgage Banking Office Furniture & Supplies Optical Services Outdoor Recreation Personal Services Pets Photographers/Photo Finishing/Framing Press/Publications/Radio Printing & Typesetting Services Property Leasing & Management Real Estate Services Resorts Restaurants Restaurants & Specialty Dining Retail Security Services Shopping Centers Signs & Banners Sporting Goods Storage Tax Preperation Telecommunications Travel Agencies Utilities Veterinarians Wholesale Employees: * Full-time Part-time Business Keywords (enter a space between words): Comments / Questions: 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 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 South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey 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 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 South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Social Networking: Facebook Primary Contact Information First Name: * Last Name: * Title: Phone: * Cell Phone: Email: * Contact Preference: Email Phone Login: * Password: * Social Networking: 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 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 South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Membership Options Membership Package: * BANKS & FINANCIAL INSTITUTIONS: $1,000.00 Includes all banks and credit unions PROFESSIONALS: $180.00 Insurance Agents, Attorneys, Realtors, Physicians NONPROFIT ORGANIZATION: $75.00 churches, clubs and other non-profit organizations. BUSINESS (1-5 employees): $120.00 BUSINESS (6-10 employees): $180.00 BUSINESS (11-20 employees): $240.00 BUSINESS (21-30 employees): $300.00 BUSINESS (31-40 employees): $360.00 BUSINESS (41-50 employees): $420.00 BUSINESS (51-100 employees): $480.00 INDIVIDUAL MEMBERSHIP: $75.00 Private citizen membership LODGING: $120.00 Hotels Motels Apartments Bed & Breakfast CORPORATE COMMUNITY PARTNERSHIP: $3,000.00 -Table for 6 at annual luncheon -Free Leadership Class Tuition -Banner ad on Chamber website -Banner ad on emails -Unlimited special event advertising -Logo placement on Chamber mail-outs -And more 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 Greater Talladega Area Chamber of Commerce. I grant Greater Talladega Area Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application
