Chaldean American Chamber of Commerce California
JOIN OR RENEW MEMBERSHIP
Name
*
First Name
Last Name
Company Name
(For Business or Corporate Memberships)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Cell Number
-
Area Code
Phone Number
Email
*
example@example.com
Website
www.example.com
Industry & Job Title
How did you hear about us?
*
Social Media
Search Engine
Event
Advertisement
Other
My Products
*
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Individual / Business
$200.00
$
200.00
Annual Individual / Business Membership
Corporate
$1,500.00
$
1,500.00
Annual Corporate Membership
Founding Member
$10,000.00
$
10,000.00
Lifetime Membership
Total
$0.00
$
0.00
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