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Member Application

*** Thank you for considering membership with the Charlottesville Regional Chamber of Commerce. To preview the annual dues for your organization before completing the application, please click Step 5 below. If your organization employs more than 1000 employees, please contact the Chamber rather than filling out the online application, 434.295.3141. ***

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Mailing Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.

Step 2:

Additional Info
Please add your company description.
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.
Looks good!
Looks good!

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your City.
Please add your State.
Please add your Postal Code.
Please add your country.
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Please complete the Captcha