New Member Application

Business Information

Company Name: *

Leave Blank:

Phone:

Website:

Email:

Business Description (200 char max):

Directory Category:

Employees:

Full-time Part-time

Comments / Questions:

Sponsoring events:

Virtual Offices in New York and/or San Francisco:

Organizing events:

Market studies & Market research:

Providing speakers for events:

Business Partner Search:

Trade Show support and assistance:

U.S. FDA Agent services:

Translation Services:

UN Procurement:

J1 Visa Services/Career Services:

Publishing articles in the GACC Legal & Tax Newsletter:

Publishing articles/Advertising in GACC Publications:

General Legal Inquiries (Incorporation Services, Collection Services and Business Mediation):

Date of Birth: Select M/d/yyyy

Years of work experience:

Provide office space/conference room for chamber events:

Startup-related Newsletter:

Women in Business Newsletter:

Young Porfessional Newsletter:

How did you hear about us?:

Physical Address

Line 1: *

Line 2:

City: *

State (e.g. "NY"): *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State (e.g. "NY"): *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State (e.g. "NY"): *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State (e.g. "NY"): *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Basic Membership: $250.00
Please note, the membership fees are pro-rated. The regular fee amount for January - December is $500.00 Membership applications completed on or after September 15th are subject to the pro-rated membership fee for the current year as well as the complete membership fee of the upcoming year. Corporate Membership: $750.00
Please note, the membership fees are pro-rated. The regular fee amount for January - December is $1,250.00 Membership applications completed on or after September 15th are subject to the pro-rated membership fee for the current year as well as the complete membership fee of the upcoming year. Patron Member: $1,250.00
Please note, the membership fees are pro-rated. The regular fee amount for January - December is $2,500.00 Membership applications completed on or after September 15th are subject to the pro-rated membership fee for the current year as well as the complete membership fee of the upcoming year. Young Professional Membership: $50.00
For up to 10 years of work experience. Please note, the membership fees are pro-rated. The regular fee amount for January - December is $100.00 Membership applications completed on or after September 15th are subject to the pro-rated membership fee for the current year as well as the complete membership fee of the upcoming year. Individual Membership: $100.00
Please note, the membership fees are pro-rated. The regular fee amount for January - December is $200.00 Membership applications completed on or after September 15th are subject to the pro-rated membership fee for the current year as well as the complete membership fee of the upcoming year.

Payment Option:

Bill me Charge my credit or debit card