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Thank you for your interest! Please complete the following member information.

Member Application

Welcome to the Greater Statesville Chamber of Commerce. Please be sure to take a look at our membership benefits page and/or give us a call at 704.873.2892 if you have any questions.

Business Information

Company Name: *

Phone: *

Website: *

Email: *

Business Category: *

Employees: *

Full-time Part-time

Business Keywords: *

Keyword 1 Keyword 2 Keyword 3 Keyword 4 Keyword 5 Keyword 6 Keyword 7 Keyword 8

Comments / Questions:

SIC CODE: *

Minority Owned Business: *

Physical Address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook Facebook fan page

Address

Same as Company Address

Line 1: *

Line 2

City: *

State / Province: *

Zip / Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook Facebook fan page

Address

Same as Company Address

Line 1: *

Line 2

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 9 plus 2?: *

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