Wise County Virginia Chamber of Commerce Membership Registration Form

Please fill out the online form below and make all all checks payable to: Wise County Virginia
Chamber of Commerce and send to 765 Park Avenue, P.O. Box 226,  Norton, VA 24273. 
For our fees schedule, click here. Thank you!

Printable version, click here.

Business Name: *

Mailing Address: *

City: *

State: *

Number of employees: *

Email address: *

Phone number: *

Fax number:

Your web site URL: *

Name of Representative who may attend meetings and to whom correspondence should be mailed: *

Amount of Membership: *

For our fees schedule, click here.

Type of Business: *

Payment information: *

Checking this box signifies that you agree to the cost of membership as billed.

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