Application | Richmond Chamber of Commerce, Inc.

Organization Information (to be displayed online)

Organization Name

Address 1

Address 2

City

State

Zip

Phone

Fax

Website

Facebook URL

Twitter URL

Main Contact

First Name

Last Name

Address

City

State

Zip

Phone

Title

Additional Contacts

Contact 1

First Name

Last Name

Title

Email Address

Contact 2

First Name

Last Name

Title

Email Address

Contact 3

First Name

Last Name

Title

Email Address

Contact 4

First Name

Last Name

Title

Email Address

Contact 5

First Name

Last Name

Title

Email Address

Contact 6

First Name

Last Name

Title

Email Address

Contact 7

First Name

Last Name

Title

Email Address

Contact 8

First Name

Last Name

Title

Email Address

Contact 9

First Name

Last Name

Title

Email Address

Contact 10

First Name

Last Name

Title

Email Address

Add/Remove Contacts

Billing Address (if different)

Billing Contact

Street

City

State

Zip

Mailing Address (if different)

Street

City

State

Zip

Additional Information

Membership Investment

Membership Type

Individual Membership/Associate Membership: Name of Individual only – no reference to a business. Add an associate (individual) membership listing to anyone within your business for $86.50/year.

Non-Profit/Homebased Business/Civic Club: This classification of membership includes non-profit organizations, churches, homebased businesses, clubs and civic organizations and sales associates.

Business Membership Investment: Businesses investment is based on the number of full-time employees.

Second Business Membership: If you are joining a second business to the chamber it will be half price at $150.00.

If adding a 2nd Business, what's the name of the primary business to which this business is being added:

Please contact the Chamber to setup your individual listing member related profile setting.

Primary Directory Category

Additional Directory Categories

Select additional directory categories below by holding the "CTRL" key
Secondary categories may be subject to additional fees
After two, additional Directory listings are $35 each

Number of Full Time Employees

Number of Part Time Employees

Please select the upgrade that you would like to add to your membership:

Hyperlink ($125)

Enhanced Membership ($250)

Additional Sub-Category ($35)

Annual Membership Investment

Additional Categories Cost

Additional Items

Total

You saved today!

Please indicate if your business is certified as one of the following:

Minority Owned

Woman Owned

Veteran Owned

Credit Card Information

Credit Card Type

Mastercard

Visa

Discover

Amex

Credit Card Number

Name on Card	Required
Security Code	Required
Valid Through
Address	Required
City	Required
State
Zip	Required
Phone	Required
Credit Card Email Address

Disclaimer: Applications are reviewed for accurate and complete information and applicants for membership may be contacted to verify information and membership type classification. Membership fees could be subject to change. Financial institutions will need to contact the Chamber directly for membership as membership investment are calculated on assets per million (Min. Investment $300; Max. Investment $1,750)

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