Member Application Business Information Company Name: * Leave Blank: Phone: * Website: * Email: * Business Description (200 char max): Directory Category: * --- Select Primary Category --- Accountants Advertising Apartments Apartments Seniors Architects Arts, Culture & Entertainment Asphalt Service Assisted Living Attorneys Auto Sales & Service Auto Services Banks Bowling Builders, Construction, & Home Renovation Business Advisors Business Incubator Cabinetry-Custom Cabinetry Call Center Carwash Chamber of Commerce Childcare Chiropractic Churches & Synagogues Civic Organizations Cleaning Services Computer Consulting Computer Services Construction Consultants Corporate Headquarters Cosmetics Skin Care Counseling Services Country Clubs Dance Companies Data Center Dentists Developers Document Destruction Dry Cleaning Economic Development Education Electric Contractor Electronic Recycling Embroidery & Apparel Employment Employment Staffing Engineers Entertainment/Sports Equipment Rental Event Planners & Rentals Event Venues & Rentals Farm Market Farmers' Market Financial Services Fitness Florist Food Delivery Funeral Service Furniture Repair Gas Oil Exploration Gas Station Golf Club Government Government:Ohio Government:Township Graphic Design Grocery Gutter Cleaning Hair & Nail Salons Health & Wellness Health Education Health Services Healthcare Heating and Cooling Services Historical Society Home Care Services Home Renovator/Building Home Sales Homeowner Senior Svc Hospitality Hospitals Human Resource Identity Theft Information Technology (IT) Insurance Interior Decorator Kennel Landscape Landscape Contractor Landscape Designer Landscape Fencing Landscape Nursery Lawn Care Landscape Lawn Equipment & Tools Lawn Fertilization Library Locksmith Lodging Long Term Healthcare Magazines Mail/Package Manufacturing & Logistics Marketing Media Production Moving & Storage Needlework Art Newspapers Office Equipment Office Furniture Office Supplies Office Supplies & Printing Ophthalmology Optometrists Orthodontists Parks & Recreation Pediatrician Pest Control Pet Grooming Photography Physical Therapy Physicians Preschool Printers Promotional Products Public Relations Publications Radio Stations Realtor Commercial Realtor Residential Recruiting Restaurants & Caterers Retail Retail - Alcohol Retail - Food Schools Security Signs Skin Care Small Business/Entrepreneur Lender Snow Removal Sports Teams Storage Talent Team Building Technology Telecommunications Television Stations Tent Rental Ticket Sales Title Companies Trade Show Marketing Translation Services Transportation Travel & Tourism Urgent Care Utility Companies Veterinarian Website Design Wholesale - Alcohol Wholesale Club Wireless Telecommunications Workers Compensation Employees: * Full-time Part-time Business Keywords (enter a space between words): 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 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 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 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 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 Social Networking: LinkedIn Facebook Ryze Bebo MEETin Primary Contact Information First Name: * Last Name: * Title: * Phone: * Cell Phone: Email: * Contact Preference: Email Phone Login: * Password: * Social Networking: LinkedIn Facebook Ryze Bebo MEETin 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 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 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 Billing Contact Information Same as Primary Contact First Name: * Last Name: * Title: * Phone: * Cell Phone: Email: * Contact Preference: Email Phone Login: * Password: * Social Networking: LinkedIn Facebook Ryze Bebo MEETin Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Canada United States Membership Options Membership Package: * Champion Member: $10,000.00 Diamond Member: $5,000.00 Platinum Member: $2,500.00 Gold Member: $1,000.00 Entry Level Membership: $200.00 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 New Albany Chamber of Commerce. I grant New Albany 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