Membership Application

 
Our Membership Director is available to assist with your membership application as needed: membership@arlingtonchamber.org, 703-525-2400

Company Information



Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Company Email:
Website:

Note: If your mailing address is different from the address above, please inform the Chamber upon completion of this application: membership@arlingtonchamber.org, 703-525-2400.

Representatives' Information



Primary Representative First Name:
Primary Representative Last Name:
Title:
Phone:
Email:
Additional Representative:
Title:
Phone:
Email:

The Chamber encourages members to add multiple representatives to their company's member account. To add more employees to your profile, contact the Membership Director: 703-525-2400, membership@arlingtonchamber.org. Once you become a member, you can update the employees in your profile anytime by logging in to the Members Only portal of the Chamber website and selecting “Update Your Contact Information.”

Please Complete the Following About your Company:



Membership Directory Listing Category: Please select a primary category that best describes your business's industry from the dropdown menu below:


Please describe your business in 25 words or less. This will be used to promote your business in our online Business Directory and our monthly newsletter, The Arlingtonian.



Investment Information:



If your business falls into one of the following categories, after filling out this form, please contact the Chamber at (703) 525-2400 or membership@arlingtonchamber.org for your annual investment rate and payment.  Categories include:  Apartments; Nonprofit Organizations; Banks; Shopping Centers; Colleges/Universities; Real Estate; Government; Restaurants; Hospitals; Professional Practices - Medical, Legal, Engineering, etc.; Hotels/Motels


Annual Investment:   
Processing Fee   
Number of Full-Time Employees:   
Please choose one of the following payment options:   
  • Credit Card: We accept VISA, MasterCard, American Express, Discover.
  • Check: Please make check payable to "Arlington Chamber of Commerce" and mail to the Chamber address below; your application will be considered upon receipt of payment.
  • Monthly Debit: Your company may choose to pay dues through an automatic bank debit from a checking account. Monthly membership dues investment is authorized for a twelve (12) month period and will renew automatically on the annual anniversary at the then current rate. If you choose this option, please contact the Membership Director at 703-525-2400 or membership@arlingtonchamber.org for an authorization form.
  • Cash: Please mail payment to the Chamber address below; your application will be considered upon receipt of payment.

Credit Card Payment:
Payment Type
Credit Card Number                          
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card Address 2
Credit Card City
Credit Card State
Credit Card Zip
Credit Card ZipExt
Credit Card Phone Number
Credit Card Country

Additional Information



Referred by:
Company:

Why did you Join the chamber? (please check all that apply)

Networking opportunities Advertising/promotional opportunities
Legislative representation Community programs/involvement
Member discounts  
Other (please specify)

Optional Information Regarding Your Company:



(Check all that apply)

  • Woman-Owned
  • Minority-Owned
  • Home-Based


The Omnibus Budget Reconciliation Act of 1993 prohibits you from deducting, for federal income tax purposes, the portion of your membership dues investment that is allocable to the lobbying activities of this organization. The Arlington Chamber of Commerce reasonably estimates that 1% of your membership dues investment is allocable to lobbying expenditures, and therefore 1% of your dues is not deductible as a business expense.

Please click submit only one time.  The transaction may take several seconds.

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