Member Application Business Information Company Name: * Leave Blank: Phone: * Website: * Email: * Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Accessories & Gifts Accountants Acupuncture Advertising/Promotional Materials Agri-Tourism Air Compressor Sales, Service, Rental & Installati Airport Ale House/Bar Ambassadors Antiques Apartments Appliance Sales & Service Appraisal Service Architectural Engineering Art Gallery and Studio Assisted Living/Retirement Associate Member Attorneys Auction Company Audio, Video, Burglar, Fire, CCTV Security Author/Writer Auto Body Repair and Services Auto Detailing Auto Parts Auto Repair & Services Automobile Dealers Automotive Servicing Aviation/Flight Training Background Check and Drug Screen Provider Bakers/Bakeries Banks Banquet Facility Bar Barbers/Hair Salons Beauty Salons Bed & Breakfasts Billing Services Boat Rental Bottlers Building Supply/Hardware Business and Civic Organizations Business Broker Business Coaching Business Services Cable Company Car Wash Carpet & Upholstery Cleaning Carport Sales Caterers Cellular Services Cemeteries Cheese and Cider Shop Chemicals Child Care Centers Childrens Home Chiropractic & Acupuncture Services Churches Cleaning & Janitorial Services Clock Repairs Coffee Sales and Service Coffee Shop-Restaurants Collision Repair Center Commercial Trucks & Heavy Equip. Sales Commodities Broker ( Tobacco) Communication Provider Computer Consultants Computer Repairs Computer Sales Computer System Design & Support Computers-Software & Service Concrete & Asphalt Maintenance Concrete & Paving Consignments Construction Companies Consultant/Contractor Referral Svc Contract Packaging Copy, Design & Print Copying Service & Supplies Country Clubs County of Surry Crafts Credit Card Processing/Merchant Service Credit Unions Custard Shop Custom Made Draperies & Curtains Custome Home Builder Dance Studio/Gymnastics Day Spa Defense Contractor Dentists Department Stores Disaster/Restoration Distillery Drone Services Dry Cleaners Economic Development Education Electrical Contractors Embroidery Employment Service Engineering & Surveying Entertainment Environmental Contracting Services Equipment Rentals & Sales Event Venue Executive Search Farming & Manufacturing Fiber Arts Studio Financial Advisor Financial Services Fireworks Flooring Florists & Floral Design Food Truck Fuel/Propane Distributors Funeral Services Furniture Garage Doors Gas Stations/Convenience Stores General Contractor Commercial General Contractor Residential Gift Baskets Glass Company Golf and Swim Club Golf Cart Golf Carts Government Grading Granite Fabrication /Installation Granite, Tile, Stone Graphic & Web Design & Networking Graphic Design & Advertising Groceries Guns/Ammo Sales Hauling Health and Fitness Centers Health Food Store Health Products Healthcare Heartland Payment Center Heating and Air Conditioning Services Heavy Lawn Power Equipment Sales Hemp Farm Herbal Products Home Health Care Home Improvement Company/Remodeling Home Improvement/ Building Material Home Inspections Home Theatre & Home Electronics Hosiery HR Consulting Human Services HVAC/Commercial Ice Cream, Yogurt, Ice Shops Indoor Environmental Specialists Industrial Electronics Insurance Interior Decorator/Designer Internet Search Engine Internet Services Investment Properties Janitorial Supplies Kennels Kids Re-sale Land Management/Forestry Mulching Landscaping Lawn Care and Maintenance Leadership Coaching & Training Library Life Coaching/Counseling/Mental Health Loans & Mortgages Services Locksmiths Lodge Lodging Management Consulting Management Consulting Manufacturers Marketing Marketing Consulting Marketing/Promotion/Web Development Martial Arts Massage Therapist Material Handling Equipment Meat Market Media Companies Medical and Commercial Cleaning Medical Equipment and Sales Medical Search Medical Services Metal Building Sales Monuments/ Granite Countertops Mortgage Services Motorcycles Sales & Services Mount Airy Fire Department Mount Airy Police Department Museum, Wedding Chapel, Entertainment Musical Instrument Sales & Service Newspapers Non-Medical In-Home Care Non-Profit Organizations Nurseries & Garden Supplies Office Supplies Optometrists Orchard Orthodontist Paint & Design Paper Products Supplier Paving Contractors Pawn & Gun Shops Payroll Services Pest Control Services Pet Care Pet Fencing Pet Resort & Boutique Pharmacies Photography Physical Therapy & Wellness Physicians and Surgeons Pick your own/Farm Plumbing Services & Supplies Pools, Spas & Supplies Port-A-John Service Portable Storage Rentals Pressure Washing and Exterior Cleaning Services Printing Private Investigation Produce Property Management Public Officials Publications Radio Stations/Broadcasting Co. Real Estate Real Estate Development Recording Studio Recreation / Camping / Sports Recycling / Solid Waste Renewable Energy Consulting Renovations and Remodeling Rental Sales & Service Rescue Squad Resorts Restaurants Restoration Services Roofers Safety Sales & Consulting Salons Sand, Rock & Gravel Screen Printer Security/Fire Systems Senior Services Septic Service Service Providers Sewing Contractor/Alterations Shipping Shoe Repair Shooting Range/Gun Shop Shopping Sign & Banner Service Signs Skilled Nursing Facility/Assisted Living Skin Care & Wellness Center Spa Specialty Foods Specialty Manufacturing StaffingAgency Stereophonic & High Fidelity Equipment Dealer Storage Tax Preparation Services Telecommunications The Greater Mount Airy Chamber of Commerce Tile Service Tires Tourism Towing service Trail Rides/Lessons/Boarding Trailer Manufacturing & Repair Transportation Travel Agencies Tree Service & Removal Trophies Truck Training & Compliance Trucking / Sales Trucking Companies/Transporters TV Upholstery Used Book Store Utilities Vending Distributor Vending Machines Veterinarians Video Production Services Wagon Rides Warehouse/Distribution Watch Shop Watch Shop Water Distibutor Web Design / Networking Wedding Services Weight Loss & Wellness Welding Welding /Machine Work//Metal Sales Window and Gutter Cleaning Window Covering & Blinds Wineries Yellow Pages Publishers Employees: * Full-time Part-time Comments / Questions: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Social Networking: LinkedIn Facebook Twitter Primary Contact Information First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Canada United States Membership Options Membership Package: * Membership Package 1: $260.00 1-5 Full-Time Employees Membership Package 2: $280.00 6-11 Full-Time Employees Membership Package 3: $385.00 11-25 Full-Time Employees Membership Package 4: $505.00 26-50 Full-Time Employees Membership Package 5: $650.00 51-100 Full-Time Employees Membership Package 6: $775.00 101-250 Full-Time Employees Membership Package 7: $1,060.00 251-500 Full-Time Employees Membership Package 8: $1,240.00 501-1000 Full-Time Employees Membership Package 9: $1,400.00 1000+ Full-Time Employees Payment Option: Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of The Greater Mount Airy Chamber of Commerce. I grant The Greater Mount Airy Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application