ANTIOCH CHAMBER OF COMMERCE Cart (0)

Member Application


Any reputable business or association interested in the promotion of the civic, commercial, and industrial growth of Antioch trade shall be eligible for membership. Please fill out the information below to join. Dues for Business Memberships are $175 annually. Dues for Associate Memberships (non-profit) are $50 annually. New Members joining after January of the year will have their dues credited towards their next year's renewals, as appropriate. (Example: if joining in June of the year, they will pay the full $175 and have a credit of $87.50 towards their next year's dues renewal.) If joining online, please call the Antioch Chamber Office and give a Visa or Mastercard number to pay your membership fee; otherwise, please print out the application and mail in with your check.

We'd like to welcome you to the world of networking available through your Antioch Chamber Membership. There are so many ways we can assist in the promotion of your business/organization - we look forward to partnering with you.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please add your business keywords.
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Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Payment Option
Please complete the Captcha

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