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Membership Application

* indicates a required field
Business Name *
Physical Address *
Tell us which applies to your physical address
Mailing Address (if different than physical)
Business e-mail
Business Website
Business Facebook address
Business Twitter Address
Business LinkedIn Address:
Business Phone Number
Toll Free
Fax
Directory Listing Category
Additional category ($75.00)
Key products or services
50-Word Business Description
Business Hours
Credit Cards Accepted (check all that apply)
My Business offers (check all that apply)
Pets allowed
Billing Address (if different from mailing address)
Primary Contact Name *
Primary Contact Title
Contact e-mail
Phone *
Contact cell phone
How would you prefer the Chamber contact you?
Number of Employees *
Check all that apply
Is your business
I want my brochures included in Chamber Relocation Packages
I will participate in the Chamber's Member to Member discount program
I want to volunteer with the Chamber (check all that apply)
Referred By
Additional Comments/Information
 



Amelia Island-Fernandina Beach-Yulee Chamber of Commerce and Welcome Center
961687 Gateway Blvd. Ste. 101G
(at A1A and Amelia Island Parkway)
(904) 261-3248
info@aifby.com

Monday-Friday 9 am - 5 pm
Closed Saturdays, Sundays and Holidays


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© 2012 Amelia Island-Fernandina Beach-Yulee Chamber of Commerce. All Rights Reserved.
961687 Gateway Blvd. Suite 101G | Amelia Island, Florida 32034
Official website of the Amelia Island-Fernandina Beach-Yulee Chamber of Commerce