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Coosa County Chamber of Commerce - Membership Application
Membership Application:
New members and renewing members, please complete this form.
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1. By completing this application, you accept the following membership pledge:
I support the Coosa County Chamber of Commerce and all efforts to promote and strengthen Coosa County and the business climate.
I hereby pledge my membership as a representative of my organization, or as an individual, under the terms of investment as follows:
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Yes, I accept
No, I do not accept
2. Organization Name
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Your answer
3. Organization's Contact Person
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Your answer
4. Mailing Address
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Your answer
5. Preferred Phone Number
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Your answer
6. Website Address
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Your answer
7. Email Address
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Your answer
8. Physical Address (if different from above)
Your answer
9.
Please select the type of organization and number of Employees
NOTE:
Dues shown are for the 2024 Membership Year
, which runs from Oct. 1, 2023, to Sept. 30, 2024. Renewals will be due at the end of September for the 2025 Membership Year.
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Business with zero to 5 employees ($75)
Business with 6 - 10 employees ($100)
Business with 11 - 20 employees ($125)
Business with 21 - 50 employees ($150)
Business with 51 - 100 employees ($175)
Business with 101 + employees ($200)
Municipality ($200)
Non-profit, Civic, Community Organizations ($50)
Individual ($50)
Individual 60+ Senior ($35)
10. Principal Business Activity
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Agriculture, Forestry, Fishing and Hunting
Mining
Utilities
Construction
Manufacturing
Real Estate, Rental, and Leasing
Transportation/Warehousing
Information
Finance and Insurance
Professional, Scientific, and Technical Services
Accommodation and Food Service
Educational Services
Health Care and Social Assistance
Arts, Entertainment, and Recreation
Administrative and Support and Waste Management and Remediation Services
Other:
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