Clone of 2026 Chamber Membership Application

2027 SCREVEN COUNTY CHAMBER MEMBERSHIP FORM

Did a Chamber Board Member refer you? If so which Board Member can we thank?

Name

First NameLast Name

Business Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone

E-mail

Website

Facebook Link

Number of Employees

Brief Business Description

Billing Rep.

First NameLast Name

Billing Phone Number

Area CodePhone Number

If you are paying with a check, please print, fill out and mail this form with your check to the Screven County Chamber of Commerce. Youl will not be able to submit the form online if you select "Mailing Check"

Checks should be made payable to Screven County Chamber of Commerce and sent to: 101 S. Main Street, Sylvania, GA 30467

Should you have any questions, please call us at (912) 564-7878.

My Products

Individual Membership: Through December 2027$75.00

Non-Profit Membership: Through December 2027$125.00

Business Membership: Through December 2027$185.00

This is our regular membership for any business. This will include self-employed business owners, farms, and home-based businesses.

Industry Membership: Through December 2027$350.00

Chamber Champion- BRONZE: Through December 2027$500.00

BRONZE CHAMBER CHAMPION $500. Contact the Chamber of Commerce for more information.

Quantity

Chamber Champion- SILVER: Through December 2027$1,000.00

SILVER CHAMBER CHAMPION $1000. Contact the Chamber of Commerce for more information.

Quantity

Chamber Champion- GOLD Through December 2027$2,500.00

GOLD CHAMBER CHAMPION $2500. Contact the Chamber of Commerce for more information.

Quantity

Chamber Champion- PLATINUM Through December 2027$5,000.00

PLATINUM CHAMBER CHAMPION $5000. Contact the Chamber of Commerce for more information.

Quantity

Mailing Check (Mail to: 101 S Main St. Sylvania, GA 30467)Free

Subtotal Shipping Total $0.00

Credit Card