Member - – Clarksburg Chamber

Please fill out the application to be considered for membership in the Clarksburg Chamber of Commerce. Dues are paid annually and are based on the number of employees in your firm. If you have any questions, please reach out to Chamber President Ann Myers at myers.team@yahoo.com. Early Bird Pricing in effect until January 11, 2019.

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees:

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Cell Phone: *

Email: *

Password: *

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