ROXBORO AREA CHAMBER OF COMMERCE
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Online Membership Application
Company Information
Company:
*
Company Name is Required.
Address Line 1:
*
Address Line1 is Required.
Address Line 2:
City:
*
City is Required.
State:
*
State is Required.
Zip:
*
Zip is Required.
Incorrect format for Zip Code (#####-####)
Phone 1:
Specify texting preference
Mobile, Opt-in Text Alerts
Mobile, Opt-out Text Alerts
Not Mobile
*
Incorrect format for Area Code (###)
Incorrect format for Phone Number (###-####)
Phone1 is Required.
Phone 2:
Specify texting preference
Mobile, Opt-in Text Alerts
Mobile, Opt-out Text Alerts
Not Mobile
Incorrect format for Area Code (###)
Incorrect format for Phone Number (###-####)
Fax:
Incorrect format for Area Code (###)
Incorrect format for Fax Number (###-####)
E-mail:
*
E-mail is Required.
Incorrect format for E-mail Addresses (name@company.ext)
Website:
Select link type
Facebook
Google+
Instagram
LinkedIn
Pinterest
Twitter
Yelp
YouTube
Online Link #1 type is required.
Select link type
Facebook
Google+
Instagram
LinkedIn
Pinterest
Twitter
Yelp
YouTube
Online Link #2 type is required.
Select link type
Facebook
Google+
Instagram
LinkedIn
Pinterest
Twitter
Yelp
YouTube
Online Link #3 type is required.
Select link type
Facebook
Google+
Instagram
LinkedIn
Pinterest
Twitter
Yelp
YouTube
Online Link #4 type is required.
Bus. Category 1:
-- No Category Selected --
Accounting & Tax Service
Adult Day Services
Agri-Business
Agriculture & Industrial
Antique
Appareal
Apparel
Appliance Dealer
Art Studio
Asset Recovery
Assisted Living
Associate Member
Attorney
Auto Repair & Sales
Automotive After Market Parts
Bail Bonds
Bank
Bar
Barber Shop
Beer Shop
Beverage Distribution
Billboard Advertising
Boat Dealer
Boutique
Building Supplies
Business Services
Camp & Retreat
Car Wash
Catering
Cellular Telephone Equip
Chemical & Service Provider
Chiropractor
Church
Civic Organization
Cleaning Service
Computer Based Services
Concrete
Consignment
Construction Materials
Contractor:Electrical
Contractor:General
Contractor:Industrial
Contractor:Maintenance
Contractor:Painting
Contractor:Paving & Concrete
Copier
Counseling Services
CPR & First Aid
Credit Union
Dance Studio
Dealer
Dentistry
Department Store
Developer
Dog Trainer
Dry Cleaner
Economic Development
Education
Employment Agencies
Engineers
Entertainment
Equip
Event Venue
Excavating
Farm & Garden Supplies
Farmer's Market
Fax Machines
Fertilizers
Financial Services
Firearm Sales & Service
Firearm Training
Fitness Center
Flooring
Florist
Food Truck
Forestry Consultant
Funeral Home
Furniture
Garbage Collection
Garden Center
Gift Shop
Government
Grading
Graphic
Hair Salon
Health Care Services
Heating & Air
Home Improvement
Home Inspections
Home Repair
Horse Breeders
Hospital
Hotels
Housing
Hunter Assistance
Infrastructure
Insurance
Investments
Jewelry Repair & Design
Ladies
Landscaping
Lawn Care
Machine Shop Welding
Manufacturing
Marketing
Masonary Contractor
Mattress Sales
Media
Moisture Contr
Mold Remediation
Motorcycle Sales
Nail Salon
Non-Profit Organization
Office
Oil Company
Park and Camp Ground
Party & Event Rentals
Pest Control
Pharmacy
Photography
Physical Therapy
Physician
Plant Nursery
Plumbing
Pressure Washing
Printing
Products
Promotional
Pub
Real Estate
Recreation
Recycling
Rehabilitation
Rentals
Restaurants
Retail
Sales
Security
Septic
Service Station
Shoes
Staffing
Supplies
Take Out
Tanning
Thrift
Tire Dealer
Tourism
Travel Agency
Upholstery
Utilities:Electric & Gas
Utilities:Gas
Valuation
Venue
Veterinarians
Vineyard
Vision Centers
Wastewater Management
Web Design
Wellness
Wrecker Service
Full-time Employees:
Full-time employees must be an integer.
Part-time Employees:
Part-time employees must be an integer.
Create Member Account Login
Your member account allows you to update your information online via a secure login.
Admin E-mail:
*
Administrative E-mail is Required.
Incorrect format for Administrative E-mail Address (name@company.ext)
Password:
*
Password is Required.
Verify Password:
*
Must Verify Password.
Passwords do not match.
Contacts
Primary Contact
Prefix:
First Name:
*
First Name is Required.
Last Name:
*
Last Name is Required.
Suffix:
Familiar Name:
Title:
Create Login
Your member login allows you to update your information online and register for events.
Username:
*
Username is Required.
Password:
*
Password is Required.
Password and Verify Password must match.
Verfiy Password:
*
Verify Password is Required.
Use Company contact information
Address Line 1:
*
Address Line1 is Required.
Address Line 2:
City:
*
City is Required.
State:
*
State is Required.
Zip:
*
Zip is Required.
Incorrect format for Zip Code (#####-####)
Phone 1:
Specify texting preference
Mobile, Opt-in Text Alerts
Mobile, Opt-out Text Alerts
Not Mobile
*
Incorrect format for Area Code (###)
Incorrect format for Phone Number (###-####)
Phone1 is Required.
Phone 2:
Specify texting preference
Mobile, Opt-in Text Alerts
Mobile, Opt-out Text Alerts
Not Mobile
Incorrect format for Area Code (###)
Incorrect format for Phone Number (###-####)
Fax:
Incorrect format for Area Code (###)
Incorrect format for Fax Number (###-####)
E-mail:
*
E-mail is Required.
Incorrect format for E-mail Addresses (name@company.ext)
Billing Contact
Send invoices to Primary Contact
Prefix:
First Name:
*
First Name is Required.
Last Name:
*
Last Name is Required.
Suffix:
Familiar Name:
Title:
Create Login
Your member login allows you to update your information online and register for events.
Username:
Password:
Password and Verify Password must match.
Verfiy Password:
Use Company contact information
Address Line 1:
*
Address Line1 is Required.
Address Line 2:
City:
*
City is Required.
State:
*
State is Required.
Zip:
*
Zip is Required.
Incorrect format for Zip Code (#####-####)
Phone 1:
Specify texting preference
Mobile, Opt-in Text Alerts
Mobile, Opt-out Text Alerts
Not Mobile
*
Incorrect format for Area Code (###)
Incorrect format for Phone Number (###-####)
Phone1 is Required.
Phone 2:
Specify texting preference
Mobile, Opt-in Text Alerts
Mobile, Opt-out Text Alerts
Not Mobile
Incorrect format for Area Code (###)
Incorrect format for Phone Number (###-####)
Fax:
Incorrect format for Area Code (###)
Incorrect format for Fax Number (###-####)
E-mail:
*
E-mail is Required.
Incorrect format for E-mail Addresses (name@company.ext)
Security Code:
Please enter the security code above.
*
*
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Request for Information
HOME
About
Contact
Members
Online Member Application
Member Benefits
Chamber Member Login
Carbon Plan and Person County
Events & Programs
Gift Check Program
Promotions
Chamber Event Calendar
Community Event Calendar
Resources
Articles
Job Listings
Quarterly Membership Guide
Member Business Directory
News
Personality Festival
Dream It, See it, Do It Tour