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Membership Application

If you would like to become a member of the Chamber of Commerce at Anthem, please complete the form below. Once your form is submitted, Debbie Drotar will contact you for payment arrangements.

Please note that all fields are required, unless specifically designated. If you would like to fill out a hard copy application, please contact Debbie Drotar at (602) 495-6483 and she will gladly send you one.

 

 

Financial Information

Annual Investment*

$355.00
    *Please contact Debbie Drotar to see if your business qualifies for the discounted rate.
One-time Processing Fee
$40.00 - waived
Company Information
Business Name
Type of Business (Category)
Representative's First Name
Representative's Last Name
Representative's Title
Company Telephone
Company Facsimile
optional
Company Address 1
Company Address 2
City
State
Zip Code
Web Site Address
optional
Representative's E-mail Address
optional
Company Description (25 words or less) optional
 
Verification Code*

Please contact Debbie Drotar at (602) 495-6483 for additional details.

 

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Chamber of Commerce at Anthem
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