Coosa County Chamber of Commerce - Membership Application

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Membership Application: New members and renewing members, please complete this form.

1. By completing this application, you accept the following membership pledge:

I support the Coosa County Chamber of Commerce and all efforts to promote and strengthen Coosa County and the business climate. I hereby pledge my membership as a representative of my organization, or as an individual, under the terms of investment as follows: *

Yes, I accept

No, I do not accept

2. Organization Name *

3. Organization's Contact Person *

4. Mailing Address *

5. Preferred Phone Number *

6. Website Address *

7. Email Address *

8. Physical Address (if different from above)

9. Please select the type of organization and number of Employees
NOTE: Dues shown are for the 2024 Membership Year, which runs from Oct. 1, 2023, to Sept. 30, 2024. Renewals will be due at the end of September for the 2025 Membership Year. *

Business with zero to 5 employees ($75)

Business with 6 - 10 employees ($100)

Business with 11 - 20 employees ($125)

Business with 21 - 50 employees ($150)

Business with 51 - 100 employees ($175)

Business with 101 + employees ($200)

Municipality ($200)

Non-profit, Civic, Community Organizations ($50)

Individual ($50)

Individual 60+ Senior ($35)

10. Principal Business Activity *

Agriculture, Construction, Manufacturing, and Mining

Education, Social Services, and Religious

Healthcare

Infrastructure (Utilities, Municipalities, VFDs)

Retail and Hospitality (Food Service, Lodging, Recreation)

Service-Based Businesses (Legal, Financial, Salon, Pest Control)

Individual (No Business Affiliation)

Other:

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