Become a member! – Anchor Point Chamber of Commerce and Visitors Center

MEMBERSHIP FORM 2024

Anchor Point Chamber of Commerce Membership Application

2o24 form

Business, Non Profit, and Individual. • Membership in the APCOC is available to all businesses, non profits, and individuals operating, serving, or living in Anchor Point as defined by the Board of Directors. (Happy Valley to Eight Mile) and interested in promoting the Anchor Point businesses and community.

October 1st 2023- September 30th 2024

** A NEW APPLICATION MUST BE FILLED OUT EACH YEAR EVEN IF THERE IS ONE CURRENTLY ON FILE.** • Located: 34175 Sterling Hwy., Anchor Point, AK 99556 • Mailing Address: PO Box 610, Anchor Point, AK 99556 • 907-235-2600 • apchamber.commerce@gmail.com • www.anchorpointchamber.org

BUSINESS, NONPROFIT, INDIVIDUAL(Required)

NAME OF BUSINESS, NONPROFIT, INDIVIDUAL(Required)

REPRESENTATIVE OF BUSINESS OR NONPROFIT(Required)

First Last

MAILING ADDRESS FOR BUSINESS, NONPROFIT OR INDIVIDUAL(Required)

PHYSICAL ADDRESS FOR BUSINESS OR NONPROFIT:(Required)

DO YOU WANT YOUR PHYSICAL ADDRESS LISTED ON THE APCOC WEBSITE?(Required)

PHONE NUMBER:(Required)

DO YOU WANT YOUR PHONE NUMBER LISTED ON THE APCOC WEBSITE?(Required)

EMAIL:(Required)

DO YOU WANT YOUR EMAIL LISTED ON THE APCOC WEBSITE?(Required)

WEBSITE:(Required)

DO YOU WANT YOUR WEBSITE LISTED ON THE APCOC WEBSITE?(Required)

BRIEF DESCRIPTION OF BUSINESS OR NONPROFIT:

ARE YOU INTERESTED IN JOINING THE BOARD OF DIRECTORS?(Required)

ARE YOU INTERESTED IN VOLUNTEER OPPORTUNITIES?(Required)

MEMBERSHIP DETAILS

** A NEW APPLICATION MUST BE FILLED OUT EACH YEAR EVEN IF THERE IS ONE CURRENTLY ON FILE.** MEMBERSHIP DUES $50 FOR BUSINESSES, $25 FOR NONPROFITS, $30 FOR INDIVIDUALS. RENEWAL DATE IS OCTOBER 1ST EACH YEAR.

MEMBERSHIP TYPE(Required)

BUSINESS

NONPROFIT

INDIVIDUAL

Please select which membership type.

Total

Credit Card

Replace this field with a field specific to your payment gateway whenever possible.

Credit Card(Required)

Cardholder Name

Card Details

SIGNATURE AND DATE(Required)