New Membership
Membership Renewal

Account # (renewals only):

 

Business Name: Contact Name/Title: Mailing Address: City/State/Zip: Street Address (if different): Billing Address (if different):

Telephone/Alternate Phone: Fax/Toll-free: E-mail/Web site (URL): Billing Representative: Billing Phone: No. of full-time Anchorage employees:

The Chamber communicates with its members regularly by fax (approx. 1-2 per week). I would like to receive faxes and understand that they are sent at any time of day or night. I do not wish to receive Chamber faxes. Your company name, web address, email, business description and phone number will be listed on our website. Yes, I would like to be in the web directory. No, I do not wish to be listed. Description of business (20 words or less):   Membership Dues: Annual dues are based on employee count; this should include owners and all full-time, permanent Anchorage employees. Renewals: select the amount on your invoice.   Your annual dues: 1-5 / $235 6-10 / $265 11-15 / $290 16-20 / $345 21-25 / $395 26-30 / $420 31-35 / $475 36-40 / $525 41-45 / $580 46-50 / $635 51-60 / $685 61-70 / $760 71-80 / $815 81-100 / $950 101-150 / $1075 151-200 / $1235 201-300 / $1500 301-400 / $1710 401-500 / $2025 $110 For Associate Members $110 For Non-Profit Organizations <500 / Negotiated Prorated dues for None - Renewal January February March April May June July August September October November December Administrative fee: $30 - New Members $0 - Renewals Prorated Dues Amount: $ Total Amount Due: $   Payment Method Check: Will be sent in the mail.(Make checks payable to Anchorage Chamber of Commerce) Credit Card: Visa Mastercard American Express Account Number/Expiration: Name on card: Amount/Date: By submitting this form, the applicant agrees to be bound by the bylaws and regulations of the Anchorage Chamber of Commerce. Membership is considered continuous until cancelled in writing. Thank you for your application! A Chamber staff member will call you promptly. You will be returned to the "About the Chamber" page as soon as this form is processed.