Membership
Membership Enrollment Form

Please complete the form below to enroll in AICC

Applicant Information:
* Name:
Company Name:
(if applicable)
* Address:
* City:
* State:
* Zip:
* Phone:
Fax:
* Email:
Please check here if you do not wish to receive email about the chamber.
Website:
Company Profile:
Please indicate your company's business sector by checking the appropriate box below
  Accounting    Accounting;Consulting    Acounting 
  Advertising    Agribusiness    Banking 
  Construction    Consulting    Distribution 
  Economic Development    Education    Executive Recruiting 
  Executive Recruiting/Human Res    Exeutive Recruiting/H.R.    Financial 
  Financial Services    Flowers    Food & Beverage 
  Funeral Services    H.R.    Health and Beauty 
  Health Care    Import/Export    Insurance 
  International Relations    Investment Banking    Law 
  Manufacturing    Marketing    Media 
  Not-for-Profit    Other    Packaging 
  Pharmaceuticals    Private Equity    Public Relations 
  Publishing    Real Estate    Security 
  Security, Technology    Shipping    Sports & Fitness 
  Technology    Technology Incubator    Telecom 
  Telecommunications    Translation    Transportation 
  US-Israel Business Development    Venture Capital    Wholesale Distribution 
Please provide a brief company profile (include specialization within sector checked above):
Membership Support:
Please indicate your membership support
  Trustee's Circle 
  • List up to five individuals, with company contact info
  • Hotlink to member website
  • Banner advertising on AICC website
  • Acknowledgment on AICC website
  • Special recognition in programs and printed materials if desired
 
$5,000 
  Sponsor 
  • List up to five individuals, with company contact info
  • Hotlink to member website
  • Banner advertising on AICC website
 
$1,500 
  Corporate 
  • List four individuals, with company contact info
  • Hotlink to member website
 
$600 
  Commercial 
  • List two individuals, includes company contact info
 
$350 
  Individual 
  • Single individual listing (name and home contact info)
 
$200 
  Young Entrepreneurs Forum (<35) 
  • Single individual listing (name and home contact info)
 
$100 
  Uncheck All 
 
 
Payment Information
Amount to Charge:
Credit Card Type:
Card Number:
Security Code:
Expiration Date: MM/YY
 
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