Appomattox County Chamber of Commerce - Appomattox, Virginia

 

 Appomattox County Chamber of Commerce Membership Application

Complete the form below or print this form (Adobe PDF format) and mail to the chamber.

Membership Category:
See details and fees.
Membership Dues Rate:
(*based on membership category)
(*if joining mid-term, please prorate your dues
or call the Chamber Office for an amount.)		 $
Business Type:
(Business Types: auto dealer, auto repair,
media, motel, restaurant, retail store, etc.)
Number of Employees:
Name:
(Either Individual or Business name)
Mailing Address:
Physical Location:
(Please provide new E-911 address.)
Phone:
Fax:
Contact Person Name:
Contact Person Title:
Email Address:
*your email address will only be used
by the Chamber for membership purposes
Website address:
Request for billing: Please bill me for the amount above.




 

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   Appomattox County Chamber of Commerce
   P.O. Box 704, Appomattox, VA 24522   |   434-352-2621 | Fax - 434-352-0294
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Copyright 2007 Appomattox County Chamber of Commerce. All rights reserved.   Page design and hosting by ACE Web Hosting & Design.
Disclaimer: Nothing on the Appomattox County Chamber of Commerce website, including but not limited to links to third party websites, shall be considered an endorsement, representation or warranty with respect to any user or third party, whether in regards to the third party website, products, services, information, purchasing, experience, employment or other company practices. The information on this website and the information about chamber members is presented for informational purposes only.