Become a Member

Online Membership Application

Company Information
Company:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip:
*
Phone 1:
*
Phone 2:
Fax:
E-mail:
*
Website:
Bus. Category 1:
Bus. Category 2:
$25.00
Bus. Category 3:
$25.00
Bus. Category 4:
$25.00
Bus. Category 5:
$25.00
Established Date:
Full-time Employees:
*
Part-time Employees:
Business Description:
Diverse Business Categories
XACC follows the Ohio Dept of Commerce's definition of a diverse business. The business must be at least 51% owned & controlled by individual(s) in one of the categories below. If your business meets that definition, please check all categories that apply.
What Prompted You to Join Today?
Please check all that apply.
Committees You May Be Interested In
Please check all that apply.
Contacts
Primary Contact
Prefix:
First Name:
*
Last Name:
*
Suffix:
Familiar Name:
Title:
Create Login
Your member login allows you to update your information online and register for events.
Username:
*
Password:
*
Verfiy Password:
*
 
Billing Contact
 
Membership Levels
$100.00
# Employees
Annual Dues
0-50
$125.00
51-250
$350.00
251+
$450.00
$125.00
# Employees
Annual Dues
0-50
$300.00
51-250
$350.00
251+
$450.00
$300.00
  • Side Bar Advertisement on website Membership Directory AND in E-Weekly Newsletter
  • Additional Directory Listings up to $125 in value
  • Social Media Support
  • Sponsorship - Golf Outing Hole Sponsor OR Annual Dinner Platinum Sponsor
$800.00
  • Header Banner Advertisement on Chamber Website AND in E-Weekly Newsletter
  • Additional Directory Listings up to $200 in value
  • Social Media Support
  • Sponsorships - Annual Dinner Platinum Sponsor
    Golf Outing Hole Sponsor
    Golf Outing Food & Beverage Sponsor
$1,800.00
  • Header Banner Advertisement on the website AND in E-Weekly Newsletter
  • Additional Directory Listings up to $250 in value
  • Social Media Support
  • Sponsorships - Annual Dinner Diamond Sponsor
    Golf Outing Corporate Sponsor
    Golf Outing Food & Beverage Sponsor
$2,500.00
Total:
$0.00
Security Code:
Please enter the security code above.
Powered By CC-Assist.NET