Membership Application

Thank you for your interest in joining the Allegany County Chamber of Commerce. All applications for membership are subject to Board of Director approval at their monthly meeting. For consideration, please submit the application form below along with a check made payable to the Allegany County Chamber of Commerce. Payment by credit card (Visa and MasterCard) may also be made at the time of the application by contacting the Chamber office. Please contact the Chamber office at 301-722-2820 with any questions.

Company Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Email (required)

Fax

Website

Primary Contact (required)

Title (required)

Primary Category (Based on categories in directory)(required)

Secondary Category

Number of Full-Time Employees (required)

Annual Dues (see Membership Investment Schedule) (required)

All memberships are subject to a one time administrative fee of $25.

Total (Investment With Administrative Fee) (required)

Brief Description of Business (required)

Additional Representative

Referred By

Referrer Phone

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