Member Application

Let's make it official! Please complete the application below and a member of our team will be in touch with you to follow up with your application status. **Nonprofit organizations, to receive a 20% discount, please complete the application and request to be invoiced. We're here to help! If you have questions about Chamber membership or would like to apply for an Introductory Membership, please contact Deborah Simon at simon@douglascountygeorgia.com

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add your company website.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please add your business keywords.
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.
Looks good!
Looks good!
Looks good!
Looks good!
Looks good!
Looks good!
Looks good!
Looks good!

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.

Step 5:

Membership Package
Please select a Membership Package
Payment Option
Please complete the Captcha
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