Member Application

To preview your annual dues, click Step 5 below.
Individuals, retired professionals, and remote workers for out-of-state employers may select the "Sole Proprietor" rate.
If your organization has more than 1000 employees, please call the Chamber at 434.295.3141 before you apply.

We look forward to connecting with you!

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Industry Sector: *

Looks good!

If you selected ''Other''

Year Founded *

Looks good!

Total Employees *

Looks good!

County/Locality *

Looks good!

# of Rooms (Hotel/Lodgings Only)

Is your organization a Minority Business Enterprise? (at least 51% owned by one or more minority individuals) *

Looks good!

If your business is a Minority Business Enterprise and you are not the owner, please list the owner's name and email address.

Is your organization certified under the Commonwealth of Virginia's Small, Women-owned, and Minority-owned Business (SWaM) program? *

Looks good!

Is your organization a not-for-profit entity? *

Looks good!

Is your organization veteran-owned? *

Looks good!

Is your organization a Virginia Values Veterans (V3) certified organization? *

Looks good!

Are you a graduate of the CIC Entrepreneur Workshop? If yes, what month & year?

How did you hear about us? *

Looks good!

Chamber staff that referred you?

Were you referred by a current Chamber member? If yes, please list their name

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

Password *

Please add your login password.

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Create Account

Step 5:

Membership Package

Additional Options:

Payment Option

Building Business. Building Community.