Member - Business Directory

Member Application

Geneva Area Chamber of Commerce P.O. Box 587 Geneva, NY 14456 Phone (315) 789-1776 ? Fax (315) 789-3993 ? info@genevany.com Physical Address: One Franklin Square, Suite 202 537 Exchange Street Geneva, NY 14456 Learn More about what is happening in our world, and share the stories of what's happening in yours! Visit us online! www.genevany.com Facebook: @GenevaAreaChamber

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Step 2:

Additional Info

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

Postal Code

Create Account

Password *

Please add your login password.

Step 4:

Comments/Questions

Payment Option

Bill Me

Please complete the Captcha

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Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Payment Option

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