Member - Azle Chamber:

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Physical Address

Line 1: *

Line 2:

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:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

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:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Membership 1-3 employees: $150.00
Membership 4-9 Employees: $180.00
Membership 10-24 Employees: $270.00
Membership 25-49 Employees: $360.00
Membership 50-74 Employees: $450.00
Membership 75+ Employees: $540.00
Independent Association/ No Employees: $75.00
An independent business where the owner is the only representative and has no employees at all. Typically this would include businesses such as Mary Kay Representatives, Single Mobile Notaries, independent realtors, etc. Churches, Non-Profits, & Civic Organizations: $50.00
Any Church, Non-Profit organization, and Civic Organization is welcome to apply for membership under this category. Individual: $50.00
Individual memberships are available to those that do not own a business or work for a business, but still want to be a part of the chamber. Examples- retired individuals, involved community citizen, etc.

Additional Opportunities:

We will contact you with additional information.

Yearly Chamber Luncheons : $120.00
Pay in advance for your chamber luncheons. You don't have to register or pay at the door. This option allows you to be billed yearly with your chamber membership.

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address

Address