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Chamber of Commerce Application
* Required Field
*
Firm/Individual
Name:
*
Primary Contact:
Title of Contact:
Physical Address:
Mailing Address
(if different):
City:
State:
Zip Code:
*
Telephone:
*
Please note that either a
telephone number or email
address is required to complete
your application.
Fax:
*
E-Mail Address:
Website Address:
Primary
Product/Service:
*
Directory Heading (Please Check ONE):
Agribusiness
Attorney
Automotive
Banking
Church
Education
Fuel
Government
Healthcare
Home
Improvement
Individual
Industrial
Insurance
Lodging
Real Estate
Restaurant
Retail
Utilities
Annual Investment Rate Schedule:
(This information will be confirmed before payments are made)
Industry/Authority/Government.................................................................$250.00
Small Business.............................................................................................$100.00
Civic Club/Church.......................................................................................$50.00
Individual Memberships:
Couple.........................................$50.00
Single..........................................$25.00
*After submitting this form, please allow us at
least two (2) business days to respond with a
confirmation email/phone call.
*Payment is required before your application is
complete. You can mail in your check or bring it to
the Mattox House at
23 W Plant Ave. Homerville,
GA 31634
. Make checks payable to Clinch
County Chamber of Commerce.
Membership dues in the Chamber of Commerce may be deductible as an ordinary and necessary business expense.  Dues are NOT
a charitable tax donation for federal income tax purposes.  The Clinch County Chamber of Commerce is not a charity; it is an
advocate organization for area businesses.  Dues are payable by December for the following year.