Member - Moore County Chamber

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

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: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter YouTube Houzz

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter YouTube Houzz

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Non-Profit: $250.00
Founder: $350.00
Builder: $675.00
Pacesetter: $895.00
Partner: $1,500.00
Proprietor: $3,750.00
Advocate: $5,900.00
Visionary: $7,500.00
Champion: $15,000.00
Please contact Linda Parsons, President and CEO to discuss benefits that will be tailored to your needs. Starting at $15,000 +

Additional Fees:

INITIATION FEE
PLEASE ADD $50.00 INITIATION FEE FOR FIRST YEAR INVESTMENT (EXCLUDES ASSOCIATE MEMBERS)

Payment Option:

Bill me

Member Application

Mailing Address

Address

Address