Gilmer Chamber Member Application Business Information Company Name: * Leave Blank: Phone: * Website: Email: Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Accounting, Bookkeeping & Tax Advertising & Media American Cuisine Antiques & Collectibles Apartments & Home Rentals Apple House & Orchards Art Studios, Crafts & Galleries Arts & Culture Arts, Culture & Entertainment Assisted Living Attorneys Automotive Sales, Service & Parts Banks Barbeque Joints Bed & Breakfasts, Lodges & Retreats Biking Blinds & Shutters Builders Building Supplies Business Services Cabins & Cottages Chiropractic Civic and Social Clubs Clothing & Accessories Commercial & Residential Cleaning Commercial Construction & Services Commercial Properties Community, Civic & Governmental Organizations Computers, Electronics & Telecommunications Consulting Convenience Stores Dental Design, Engineering & Survey Education & Child Care Equipment Sales & Service Event Planning, Event Facilities & Weddings Exterior Cleaning & Painting Farms & Markets Financial Services Fishing Fitness Franchise Favorites Funeral Homes Furniture & Home Decor Golf Government Grading Hair & Beauty Health & Wellness Hiking Home Health Care Home Inspections Home Repairs & Improvment Homebased & Direct Retailers Horseback Riding Hospice Hospital & Clinics Hotels & Motels Ice Cream & Coffee Shops Individuals Insurance International Cuisine Investment Landscape Design & Installation Landscape Design, Installation & Maintenance Major Retailers Manufacturing & Processing Marketing & Promotional Services Medical Equipment Medical Screening Merchant Services Moving & Storage Museums & Gardens Non Profits Nutrition Outdoor Retailers Pest Control Pets & Veterinary Pharmacies Physical & Massage Therapy Physicians Pizza & Sandwiches Real Estate Agencies Real Estate Agents Religious Organizations Residential Developments RV Parks, Campgrounds & Glamping Security & Home Technology Social and Family Services Specialists & Counseling Specialty & Gift Shops Sub Contractors Thrift Stores Transportation Travel & Vacation Services Utilities Vineyards, Wineries, & Tasting Rooms Water Sports Zip Lining Employees: * Full-time Part-time Business Keywords (enter a space between words): How were you referred?: * Purpose For Joining: * Promote services or products Support advocacy efforts that benefit my business Drugs Don't Work Program Connect with other professionals and to the community Educational training for myself or my staff Workers Comp Insurance Discounts Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Social Networking: LinkedIn Facebook Twitter Instagram Pinterest Primary Contact Information First Name: * Last Name: * Title: Phone: Cell Phone: Email: * Contact Preference: Email Phone Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Title: Phone: Cell Phone: Email: * Contact Preference: Email Phone Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Canada United States Membership Options Membership Package: * Business with 1-5 Employees: $135.00 2 part-time = 1 full-time Business with 6-15 Employees: $200.00 2 part-time = 1 full-time Business with 16+ Employees: $250.00 2 part-time = 1 full time Financial (Non-FDIC): $300.00 Financial (FDIC): $600.00 Outpatient Healthcare Providers: $200.00 Medical Offices & Professionals Hospitals: $500.00 Hospitals Accommodations: $200.00 Hotel, BB, Multi-Unit Rentals Accommodations: $135.00 Single Rental Cabin Real Estate Agency: $200.00 Real Estate Agent- Affiliated: $100.00 Affiliated with a Member Agency Real Estate Agent-Non-Affiliated: $135.00 Affiliated with a Non-Chamber Member Agency Utilities: $600.00 Governmental Bodies: $100.00 Non-Profit Organizations: $100.00 Religious Organizations: $75.00 Individual : $25.00 Age 62 or Over Individual: $50.00 Under Age 62 Payment Option: Charge my credit or debit card Print Application
