Dahlonega-Lumpkin County Chamber of Commerce

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Online Membership Application

Membership Application Form

Tell Us About Your Business
Name of Business (*)	Invalid Input
Type of Business (*)	Invalid Input
Street Address (*)	Invalid Input
City (*)	Invalid Input
State (*)	Invalid Input
Zip (*)	Invalid Input
	Street Address and Mailing Address are the same Invalid Input
Mailing Address	Invalid Input
City	Invalid Input
State	Invalid Input
Zip	Invalid Input
Number of Full-Time Employees (*)	Invalid Input
Number of Part-Time Employees (*)	Invalid Input
Number of Locations (*)	Invalid Input
Primary Contact: First Name (*)	Invalid Input
Last Name (*)	Invalid Input
E-mail Address	Invalid Input
Web Site	Invalid Input
Phone Number (*)	Invalid Input
Fax Number	Invalid Input
Calculate Your Investment
One-time Administration Fee (*)	Invalid Input
Retail or Service Businesses	Invalid Input
Manufacturers	Invalid Input
Professional Services	Invalid Input
Lodging	Invalid Input
+ $2.00 per room/unit	Invalid Input
Nonprofit Organization	Invalid Input
Individual Member	Invalid Input
Senior Member	Invalid Input
Special (Banks/Education/Golf/Heathcare/Utilities)	Invalid Input
Associate or Second Business Membership	Invalid Input
Expanded Internet Link - Logo, Photos, 1600 char. descr., 200 char. results summary & 20 keywords	Invalid Input
Your Total Fee
Please be sure to add the $35.00 administration fee. (*) is not a number

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