Join the Chamber

Membership Application

The first step to accessing member benefits is to provide the information requested in this form. The information you submit will be reviewed by the Chamber staff and an invoice will be sent to you for payment. Your membership will be activated when payment is received. There is a $25 application fee.

StANDARD MEMBERSHIP LEVELS

Business Membership Investment – $400 (Suggested for business with 10 or less employees)

Executive Membership Investment – $600 (Suggested for business with 10+ employees)

Corporate Membership Investment – $800 (Suggested for businesses with 50+ employees)

A subscription membership available for standard membership levels only. Pay a monthly fee with your one year membership commitment.

ENHANCED MEMBERSHIP LEVELS

Build the Chamber and the community while receiving enhanced benefits. Contact Holly Dougherty to discuss the benefits at 703-360-6925 or hollydougherty@mtvernon-leechamber.org

Bronze Strategic Partner – $1,000

Silver Strategic Partner – $2,000

Gold Strategic Partner – $3,500

Platinum Strategic Partner – $5,000

Chairman's Circle – $7,500

Company Information

Company:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone 1:

Phone 2:

Fax:

E-mail:

Website:

Bus. Category 1:

Full-time Employees:

Part-time Employees:

Create Member Account Login

Your member account allows you to update your information online via a secure login.

Admin E-mail:

Password:

Verify Password:

Contacts

Primary Contact

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Title:

Create Login

Your member login allows you to update your information online and register for events.

Username:

Password:

Verfiy Password:

Use Company contact information

Billing Contact

Send invoices to Primary Contact

Security Code:

Please enter the security code above.