CACCG Membership Application - By Check

Print this application, fill out the form and mail it along with your check to the address below.

Check Membership level:                                                       

             $35     Individual Membership                                       

             $80    1-10 Employees 1 Representative     

             $150  11-25 Employees 1 Representative   

_____ $300  26-50 Employees 2 Representative    

                                                                            ________________________________

Name                                                                  Business Name
                                                                           _________________________________

Phone                                                                 Address 
                                                                           _______________    _____     _________
Email                                                                   City                         State       Zip

Check Number ______________       Date _______________  Amount ____________
 

Mail to: Chilean American Chamber of Commerce of Georgia (CACCG)
5885 Cumming Hwy
Suite #108-310
Sugar Hill, GA 30518

Phone: (678) 876-7667