Member Application
Thanks for your interest in joining the Polk County, GA Chamber of Commerce.
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
Email:
*
Business Description (200 char max):
Directory Category:
*
--- Select Primary Category ---
Accountants
Advertising & Communications
Agri-Tourism
Agricultural Equipment
Ambulance Service
Animal Shelter
Antique & Gift Stores
Antique Automobiles
Apartment Complexes
Appliance Sales
Appraisal Services
Arts & Entertainment
Assisted Living
Attorneys
Auto Parts
Automobile Collision Repair
Automobile Sales
Automotive Services
Bakery
Banks
Barber Shop
Bath and Body Products
Beauty Salon
Beauty Supplies
Behavioral Health Facility
Beverage Service
Blood Supplier
Bonding Companies
Book Store
Boutique, Gifts, Ladies Clothing & Accessories
Boys & Girls Club
Building Supplies
Business Appraisals
Business Services
Cabinet Shops
Carpenters
Casket Manufacturers
Catering
Cellular Phone Service
Cemeteries
Chambers of Commerce
Child Agencies
Child Care/ Day Care
Chiropractors
Churches
Civic Organizations
Coin Laundry
Colleges
Commercial & Residential Painting
Commercial Construction
Commercial Plumbing
Communications
Community Action Agency
Computer Networking
Computer Sales & Repair
Concrete
Consignment Shop
Contractors / Construction
Convenience Store/ Gas Station
Copier Sales and Lease
Cosmetics & Gifts
Counseling
Country Clubs
Custom Home Builder
Deli
Dentists
Dialysis Center
Discount Stores
Doors & Windows
Downtown Business Development
Driving School
Dry Cleaners
Education
Electrical Contractor
Electronic Component Distributer
Electronic Sales & Supplies
Employment / Jobs
Event Facility
Exterior Vinyl Siding & Replacement Windows
Farm & Ranch Supplies
Farmers Market
Farms
Feed & Seed Store
Fibernet Companies
Finance Company
Financial Advisors
Fitness Centers
Floor Covering Sales
Florist & Gift Shops
Funeral Homes
Garbage Disposal
General Repair
Gift Shop
Government Agency / Agent
Grocery Stores
Gutter & Vinyl Siding
Hair Styling Center
Hardware Stores
Health/Worker's Comp Insurance (Chamber-Member)
Heating& Air, Electrical & Plumbing Supplies
Hispanic Services
Historical Society
Home Builders Association
Home Décor & Gifts
Home Furnishings
Home Healthcare Services
Hospice
Hospitals
Hotels/Motels
Housing Authorities
Individuals
Industrial Gases and Supplies
Industrial/Cutting Tool Supplier
Industries
Insulation Contractors
Insurance Agents / Agency
Interior Detailing Services
Janitorial Services
Jewelers
Land Planning & Design
Landscaping
Lawn & Garden
Legal Services
Linen Supply & Laundry
Liquor Store
Media/Publishing
Medical
Men's Clothing Stores
Mental Health
Merchant Services
Military
Mobile Payroll Check Cashing
Monuments/Headstones
Mortgage Company
Natural Gas Suppliers
Newspapers
Non-Profit Organizations
Notary Public
Nursing Homes
Nutrition & Herb Store
Occupational Health
Off Road Park
Office Furniture & Supplies
Optometrist
Ornamental Metal Art
Outdoor Advertising
Paint/Paint Supplies
Party Rentals
Paving
Pawn Shop
Payroll
Pest Control Specialist
Pet Grooming & Boarding
Pharmacy / Medical Supplies
Pharmacy, Gift Shops
Photography
Physical Therapy
Physicians
Porta Toilets
Printing Services
Private Christian Education
Professional Baseball
Propane Dist. & Appl. Sales & Service
Public Golf Course
Public Library
Publishing & Printing
Quilting
Radio Stations
Real Estate Agencies
Restaurants
Restoration and Cleaning
Retail Stores
Retirement Communities
Roofing
RV Park & Campground
Sales/Lease Ownership
Screen Printing/Embroidery
Self Storage
Senior Housing
Sheet Metal Fabrication
Shopping
Signs & Graphics
Skydiving Center
Speacialty Cut Flowers
Sports
Tax Services
Taxi Service
Telecommunications
Tire Sales and Service
Title/Pawn
Translator/ Interpreter
Travel Agency
Tree Service & Removal
Truck Leasing
Trucking & Transportation
Utilities
Veteran Services
Veterinarians
Videography
Waste Services
Welding / Metal Fabrication & Equipment
Wholesale Club
Women's Clothing Stores
Women's Shelter
Youth Services
Employees:
*
Full-time
Part-time
Comments / Questions:
Recruited by:
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
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
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
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
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
Primary Contact Information
First Name:
*
Last Name:
*
Phone:
*
Email:
*
Contact Preference:
Email
Phone
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
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
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
Membership Options
Membership Package:
*
1-10 Full Time Employees
:
$195.00
11-20 Full Time Employees
:
$225.00
21-40 Full Time Employees
:
$275.00
41-50 Full Time Employees
:
$350.00
Non-Profit Group (must have proof of 501(c) status)
:
$110.00
Individual (no business affiliate)
:
$125.00
Payment Option:
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Charge my credit or debit card
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