2025 SCREVEN COUNTY CHAMBER MEMBERSHIP FORM
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First Name
Last Name
Business Name
Address
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Street Address
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City
State / Province
Postal / Zip Code
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
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E-mail
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Website
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Number of Employees
Brief Business Description
Billing Rep.
First Name
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Billing Phone Number
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Area Code
Phone Number
CHAMBER MEMBERSHIP LEVELS
Checks should be made payable to Screven County Chamber of Commerce and sent to: 101 S. Main Street, Sylvania, GA 30467
Should you have any questions, please call us at (912) 564-7878.
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Individual Membership
$
50.00
Non-Profit Membership
$
100.00
Business Membership
$
160.00
This is our regular membership for any business. This will include self-employed business owners, farms, and home-based businesses.
Industry Membership
$
350.00
Chamber Champion- BRONZE
$
500.00
BRONZE CHAMBER CHAMPION $500. Contact the Chamber of Commerce for more information.
Quantity
1
2
3
4
5
6
7
8
9
10
Chamber Champion- SILVER
$
1,000.00
SILVER CHAMBER CHAMPION $1000. Contact the Chamber of Commerce for more information.
Quantity
1
2
3
4
5
6
7
8
9
10
Chamber Champion- GOLD
$
2,500.00
GOLD CHAMBER CHAMPION $2500. Contact the Chamber of Commerce for more information.
Quantity
1
2
3
4
5
6
7
8
9
10
Chamber Champion- PLATINUM
$
5,000.00
PLATINUM CHAMBER CHAMPION $5000. Contact the Chamber of Commerce for more information.
Quantity
1
2
3
4
5
6
7
8
9
10
Mailing Check (Mail to: 101 S Main St. Sylvania, GA 30467)
$
Free
Subtotal
$
0.00
Shipping
$
0.00
Total
$
0.00
Credit Card
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