Application

To join the Yancey County Chamber, please print and fill out the following form using the options at the bottom of this page. You may also save it as a PDF and fill it out on your computer. Once you have printed the completed application, sign it and mail or bring it to the Chamber office along with your payment.

Chamber of Commerce Membership Application
Business Name:
Owner Name:
Contact Name:
Physical Address:
Physical City/State/Zip:
Mailing Address:
(if different)
Mailing City/State/Zip:
Billing Address:
(if different)
Billing City/State/Zip:
Telephone:
Fax:
Email:
Website:
List products & services
you provide so that we
may properly refer and
categorize your business
(include history):




Number of Employees
or Units:
Date:
Authorized Signature:

_____________________________________________________________________
Title:

_____________________________________________________________________

Please return this application with payment to:

Yancey County/Burnsville Chamber of Commerce
106 West Main
Burnsville, North Carolina 28714

For office use only:
Date check received: Date in book:
Check#: Date in computer:
Amount: Date on Internet:
Visitor Guide: Additional Listing: