Member - GGBA

Member Application

Thank you for your interest in joining the GGBA. By completing and submitting the Membership Application you confirm that you are the owner/manager of this business with authority to enter into contracts on behalf of the business; agree to abide by the Chamber's Standards of Business Conduct & Ethics; authorize the Chamber to publish your name, photo and/or business information in the Chamber's newsletter, online directory and other publications; understand that the Chamber will use your email address for sending general communications and invoices. Membership Applications are subject to administrative and/or Board approval. A Member's renewal date is 12 months from the month the member joins. Paid dues are non-refundable.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Business Keywords (enter a space between words):

Comments / Questions:

Were you referred by a GGBA Board Member?:

How did you first learn about GGBA?:

Physical Address

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City:

State:

Postal Code:

Country:

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter YouTube

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter YouTube

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Chairperson Level Partnership: $40,000.00
President Level Partnership: $20,000.00
Vice President Level Partnership: $10,000.00
Director Level Partnership: $5,000.00
Advocate Level Partnership: $2,500.00
Platinum Membership: $995.00
(Includes 2 Power Lunch Tickets and a Member Spotlight) Gold Membership - Businesses with 2 or more people: $595.00
(Includes 1 Power Lunch Ticket) Most Popular Membership! Silver Membership (1 person sole-proprietor): $395.00
Non-Profit Membership: $295.00
Community Level (Individual - Non Business): $195.00
(LGBTQ students, advocates or people not advertising a business) This member level is not listed in our on-line business directory!

Payment Option:

Charge my credit or debit card

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Print Application

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