Georgia Black Women's Chamber of Commerce Membership Payment Form
Thank you for joining GBWCC!
Business Name
Your Name
First Name
Last Name
Your E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
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( X )
Dr. Lois Keith Tier
$
12.50
$12.50 per month (This plan auto-renews at $12.50 monthly until canceled.)
$150 per year (This plan auto-renews at $150.00 yearly until canceled.)
Bunnie Jackson-Ransom Tier
$
25.00
$25.00 per month (This plan auto-renews at $25.00 monthly until canceled.)
$300 per year (This plan auto-renews at $300.00 yearly until canceled.)
Xernona Clayton Tier
$
50.00
$50.00 Per month (This plan auto-renews at $50.00 monthly until canceled.)
$600 per year (This plan auto-renews at $600.00 yearly until canceled.)
Ingrid Saunders Jones Tier
$
100.00
$100.00 per month (This plan auto-renews at $100.00 monthly until canceled.)
$1200 per year (This plan auto-renews at $1200.00 yearly until canceled.)
Shirley Franklin Legacy Tier
$
208.34
$208.34 per month (This plan auto-renews at $208.34 monthly until canceled.
$2500 per year (This plan auto-renews at $2500.00 yearly until canceled.)
Total
$
0.00
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