Membership Application

Standard Membership Fee:
$150
Gold Membership Fee:
$250
Silver Membership Fee:
$180

Thank you for your interest in joining the Greene County Chamber of Commerce. To apply, simply fill out and submit the on-line application below.

Our standard membership annual fee is $150. Our new Silver Membership is $180 per year and provides additional recognition on our website and quarterly social media posts as well as recognition at various events during the year. Our Gold Membership is $250 per year and includes everything within the standard and silver memberships AS WELL AS a monthly post on our social media page highlighting your business. All NEW memberships will also incur a one-time $30 administrative fee.

So please feel free to join at any time! Once you have filled out the application you will receive an invoice through our online payment system where you can securely pay either via ACH or Credit Card. You can also mail in a check with your invoice.

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

Note: There are two (2) contacts standard per membership, but more are permitted. Please let us know if you require additional contacts.

Note: If you are a previous Chamber member and have allowed your membership to lapse, you must sign up and pay the same rate as a new member. This is to cover the time required for account administration.

Membership Application Form

Business Name *

D.B.A. Name

Street Address *

Street Address

City

State

Zip

Mailing Address (if different)

City

State

Zip

Business Phone *

Fax Number

Primary Contact Information

Name *

Title *

Email *

Secondary Contact Information

Name

Title

Additional Company Information

Year Founded *

Number of Full Time Employees *

Number of Part Time Employees *

Website URL

Facebook URL

Instagram URL

Business Summary for inclusion on Chamber Web Site: *

(max 500 characters)

Choose Primary Category *

Choose Secondary Category

Submitted by: *

Date *

Choose Membership Level:

List the business that referred you, if any:

Security

PLEASE click “Apply Now” 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