Member Application To view this form, please enable JavaScript in your browser. Member Information Company Name First Name Last Name Title Company Address as it will appear in our Online Business Directory Address 2 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Phone Website Email Do any of the following business certificates or designations apply to the business? Women-owned business Minority-owned business LGBT-owned business Veteran-owned or service-disabled veteran-owned business Small disadvantaged business SBA 8(a) certified business None of the above I'm not sure Billing Contact Salutation First Name Last Name Email Add Additional Contacts Need more contacts? You can add up to 10 additional contacts. Just 're-click' the + button above for each new contact! Contact 1 First Name Last Name Title Email Address Contact 2 First Name Last Name Title Email Address Contact 3 First Name Last Name Title Email Address Contact 4 First Name Last Name Title Email Address Contact 5 First Name Last Name Title Email Address Contact 6 First Name Last Name Title Email Address Contact 7 First Name Last Name Title Email Address Contact 8 First Name Last Name Title Email Address Contact 9 First Name Last Name Title Email Address Contact 10 First Name Last Name Title Email Address Membership Investment Primary Directory Category None Advertising, Media and Marketing Agriculture, Fishing and Forestry Architectural and Engineering Services Arts, Culture and Entertainment Associations and Organizations Automotive, Aviation and Marine Business and Professional Services Communication Computers, IT and Technology Distributors & Wholesalers Employment and Staffing Family, Community and Non-Profit Finance and Insurance Government and Education Health Care Services Home and Garden Industrial and Manufacturing Legal Services Lodging, Attractions, Travel & Tourism Miscellaneous Personal Services and Care Pets and Veterinary Public Utilities and Environment Real Estate and Construction Religious Organization Restaurants, Food and Beverages Shopping and Specialty Retail Sports and Recreation Membership Type Please Select One... Impact - $10,000 Prosper - $5,000 Lead - $3,500 Engage - $1,500 Belong - $500 Number of Full Time Employees Number of Part Time Employees Annual Membership Investment Total The Nashville Area Chamber of Commerce is a 501(c)(6) organization. Ninety-five percent of membership dues are tax deductible as a business expense. Consult your tax advisor for more information. Payment Type Credit Card Check NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks. The contents of this box are for testing purposes. This box will be removed when the form goes live. Additional Directory Categories Select additional directory categories below by holding the "CTRL" key Secondary categories may be subject to additional fees none Number of Rooms Number of Seats Number of Associates Number of Locations Millions in Assets Enhanced Membership ($50) Additional Items Additional Categories Cost One-Time Application Fee Tax Full-Time Employees Part-Time Employees Hotel/Motel Rooms Restaurant Seats Additional Associates Additional Associates Cost Additional Locations Additional Locations Cost Assets Assets Cost Additional Categories Number Of Additional Categories Additional Categories Cost Additional Item 1 Cost Additional Item 2 Cost Additional Item 3 Cost Additional Item 4 Cost Additional Item 5 Cost Additional Item 6 Cost Additional Item 7 Cost Additional Item 8 Cost Additional Item 9 Cost Additional Item 10 Cost Annual Dues (charged to card) Revenue Item Tax (charged to card) Fee (charged to card) Temp Value For DropDown 1 MembershipType Additional Item 2 Additional Item 3 Additional Item 4 Additional Item 5 Additional Item 6 Additional Item 7 Additional Item 8 Additional Item 9 Additional Item 10 Credit Card Information Credit Card Type MastercardVisaDiscoverAmex Credit Card Number Name on Card Security Code Valid Through 01 02 03 04 05 06 07 08 09 10 11 12 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Phone Credit Card Email Address Please click submit only one time. The transaction may take several seconds. Please select a membership type before submitting your application.