Optima Affiliate Sign-up

Contact Information

P.O. Box 643
Ruckersville, VA 22968
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  • logo-optimaThis special offer is available only to organizations outside of Greene County. Membership does not include listing on the Greene County Chamber of Commerce website, attendance at members-only chamber events or reduced rate member fees to public chamber events.

    Associate Membership
    Registration Fee:
    Already an associate member and just need to renew?
    Click here to fill out the brief renewal form.

    Please consider paying the registration fee safely and securely through our on-line payment system. Simply select “PayPal” as your payment option below and you will be sent to a page that will let you use your credit card to apply right away. It is free, 100% secure, and you are not required to have a PayPal account. Of course you can also choose to mail a check or money order to the address provided below.

    We appreciate your interest in membership, and we look forward to working with you.

    Optima Membership Application

    Membership Application Form

    (Note: Blanks marked with an * are mandatory.)
    Street Address
    Mailing Address (if different)

    Primary Contact Information

    Additional Company Information


    PLEASE click “Submit” only once
    and allow several seconds for your request to process.

    Send Remittances to:
    Greene County Chamber of Commerce
    P.O. Box 643
    Ruckersville, VA 22968