ACC MEMBERSHIP APPLICATION CONTACT PERSON INFORMATIONFirst Name *Middle Name *Last Name *Email *Phone *BUSINESS DETAILSType of Business *Years in Business *No. of Employees: *Business Address *City *State/Province *ZIP / Postal Code *Business Description *Website *Social Media Handles *MEMBERSHIP BENEFITSPlease indicate which benefits are of interest to you: *Networking EventsBusiness Development WorkshopsAccess to Member DirectoryAdvertising OpportunitiesAdvocacy and Government Relations SupportAccess to Resources and ServicesOthers (specify)Please specify *MEMBERSHIP TYPESPlease select your desired membership type:Student/Individual ($100/year)Non-Profit ($300/year)Self-Employed ($500/year)Small Business (2-9 Employees) ($2,500/year)CORPORATE MEMBERSHIP TYPESPlease select your desired corporate membership type:Bronze ($3,000/year)Silver ($5,000/year)Gold ($10,000/year)Platinum ($20,000/year)PAYMENT METHOD *Debit Card/CreditCheckPlease scan the QR code to securely pay online using your credit or debit card.Please make checks payable to Asian Chamber of Commerce of North Florida.Mail to: P.O. Box 441014, Jacksonville, FL 32222.HOW DID YOU HEAR ABOUT US? *Social MediaEventsFriends/MembersOtherPlease specify *WHAT ARE YOU LOOKING TO GAIN FROM THIS MEMBERSHIP? *Growth BusinessGet more involved in the communityOtherPlease specify *TERMS AND CONDITIONSI hereby apply for membership in the Asian Chamber and agree to abide by the Chamber's bylaws and Code of Ethics. I understand that membership dues are non-refundable. I authorize the Asian Chamber to contact me via email, phone, or mail regarding Chamber-related activities, events, and services. I also understand that there are selected events that are free, while some events offered will have a charge.Print *Date * Signature *Start signing your signature hereYour browser does not support e-Signature field.Submit
