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Member Application

Thank you for your interest in joining the Bedford Area Chamber of Commerce. Please complete the online application in its entirety and a staff member will contact you regarding your dues amounts and a review of your benefits. If you have any questions please contact our offices at 540-586-9401.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add your company website.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please select a directory category.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses
Create Account
Please add your login password.

Step 5:

Payment Option
Please complete the Captcha