Chamber Master Member Application Welcome to Membership in the Greater Valley Area Chamber of Commerce. You will be notified when our Board of Directors has approved your application. Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Accountants/ Tax Preparation Agent/ Broker Alarm Security/Fire Protection Alignments American Antiques Apartment Complex Appliances/Household Art Assisted Living/ Nursing Homes Attorneys Auto Dealers Auto Manufacturing/ Supplier Auto Repair/ Transmissions Automotive Sales/ Service Bakery/Coffee Shop Banking/Financial Services Bar and Grill Bar-B-Que Barter Program Building Inspection Building Supply/ Hardware Cable/ Phone/ Internet Campground & RV Parks Car Wash Cardiology Catering/Vending Childcare Chinese Chiropractor Churches Clothing and Accessories Communications Computer/ Web Site Services and Repair Consultants Convenience Store/ Fuel Counseling Dentistry Department Stores Development/Commercial Education Elected Officials Electrical Embroidery/ Monogram Employment Services Engineer Engraving Fabrication Family Practice Feed & Seed Fireworks Fitness Flooring Florist Freight Transportation Services Funeral Services Furniture Garbage Gas Geriatrics Glass Installation/ Repair Government Grading Greek Grocery Health, Beauty, and Salons Heating & Air Home Health/ Hospice Hospice Hospital Hotels/Motels Ice Cream and Desserts Ice/ Beverage Individual Insurance Internal Medicine Italian Janitorial Service Bus/Res Japanese Korean Lawn and Landscape Lawn Care Equipment Locksmith Machinery Manufacturing Marinas Marketing Firms Materials Mechanical Medical Billing Mexican Mobile Phones Monuments Non-Profit Obstetrics & Gynecology Office Equipment/ Supplies Ophthalmology Optometry Orthopedic Outdoor Supplies/Wear Package Store Palliative Care Party/ Equipment Rental Pathology Pawn Shops Pediatrics Pest Control Pharmacy Photography Physical Therapy Plumbing Podiatry Power Print Printing/ Graphic Design Radio Radiology Real Estate Recreation Recycle Rental Property Rentals -- Short Term Restaurant Rigging Roofing Sewing Machines/ Supplies Small Engine Repair Social Media Storage Surgery Tires Towing/Wrecker TV Urgent Care Veterinarians Water Water/Fire Damage Welding and Welding Supplies Wells Window Tinting Employees: * Full-time Part-time Comments / Questions: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Social Networking: LinkedIn Facebook Primary Contact Information First Name: * Last Name: * Title: * Phone: * Cell Phone: Fax: Email: * Contact Preference: Email Phone Social Networking: LinkedIn Facebook Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Title: * Phone: * Cell Phone: Fax: Email: * Contact Preference: Email Phone Social Networking: LinkedIn Facebook Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Canada United States Membership Options Membership Package: * New Member: Membership Renewal: Additional Opportunities: We will contact you with additional information. Apartments/Campgrounds/Hotels : $0.00 $225.00 Base Rate includes first 10 Units. Units 11-50 additional $5.00 per unit. Units 51 and above additional $1.50 per unit. General Business with 1-25 Employees : $225.00 Businesses with 1-25 employees. General Business with 26-100 Employees : $425.00 Businesses with 26-100 employees General Business with 101-300 Employees : $750.00 Businesses with 101-300 employees. General Business with 301-500 Employees : $1,500.00 Businesses with 301-500 employees. General Business with 500 or more Employees : $3,000.00 Businesses with 500 or more employees. Financial Institutions : $750.00 Businesses that are financial institutions includes all branches in Chamber service area. Individuals : $100.00 Professionals interested in supporting the Chamber who are not associated with a member business. Please call the Chamber at 334-642-1411 for additional information. Non-Profit Organizations : $125.00 Non-profits who receive funding from government, contributions and/or grants (i.e. libraries, civic clubs, churches, schools, government, etc.) Utilities : $1,250.00 Businesses that provide utility services. Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Greater Valley Area Chamber of Commerce. I grant Greater Valley Area Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application