New Member Application

 

Member Application:

* Company Name:  
* Phone:  
 
* Physical Address:  
* City/State/ZIP:  
Country:
 
Mailing Address: Same as physical address
City/State/ZIP:
Country:
 
Directory Category:
Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
* Phone:  
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Address: Same as Member Address
City/State/ZIP:
Country:
 
 
 
 
Submit Application:
Enter the CAPTCHA answer, then press the Submit Application button.
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I agree to pay annual membership dues, plus a one-time application fee of $30.00.

Membership dues are non-refundable and non-transferable. I understand all applications are subject to approval by the Board of Directors and may be revoked at their sole discretion. I certify that my business meets all federal, state and local laws, ordinances and regulations for doing business in Virginia, and in the localities in which this business operates. While contributions or gifts to the Chamber of Commerce are not tax deductible as charitable contributions for Federal income tax purposes, they may be tax deductible under other provisions of the Internal Revenue Code.