Member Application

For information about dues, contact Tina Mock, Business Development Director at 912-644-6407 or TMock@SavannahChamber.com.

Account

Company Name:
Physical Address 1:
Physical Address 2:
Physical City:
Physical State:
Physical Zip:
Physical Country:
	This is a Home Address
Mailing Address 1:
Mailing Address 2:
Mailing Address City:
Mailing Address State:
Mailing Address Zip:
Mailing Address Country:
	Same As Physical Address
Billing Address 1:
Billing Address 2:
Billing City:
Billing State:
Billing Zip:
Billing Country:
	Same As Mailing Address
Business Phone:
Web Site:
Business Email:
Tollfree:
Fax:
Business Category:

Contacts

First Name:
Last Name:
Title:
Email:
Primary Phone:
Cell Phone:
Billing Contact First Name:
Billing Contact Last Name:
Billing Contact Title:
Billing Contact Email:
Billing Contact Phone Number:
	Same As Primary Contact

Listings

Number of Employees:
Number of Seats:	Dining Only
Number of Rooms:	Accommodations Only
Company Facebook:
Company Twitter:

Verification:

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Red fields are required.