Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Step 2:

Additional Info

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

Postal Code

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1

Address line 2

Country

City

State

Postal Code

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

General Membership $ 300

General membership is due annually

Financial Institution Membership $ 725

Membership is due annually. $725 plus $200 per additional branch. Additional fees may apply.

Individual Membership $ 185

Membership for persons not associated with a business or those who want a separate representation from their respective businesses. Membership is due annually.

Healthcare Membership $ 300

Membership is due annually. $300 plus $1.60 per bed in the facility. Additional fees may apply.

Hotels, Motels, Apartment Memberships $ 300

Membership is due annually. The base fee is $300 plus additional fees of $2.15 per room and $0.55 per seat in the restaurant if applicable.

Restaurant Memberships $ 300

Membership is due annually. The base fee is $300 and an additional fee of $0.55 per seat will be applied.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

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Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Create Account

Step 5:

Membership Package

Payment Option

Elizabeth City Area Chamber of Commerce