704.289.4567 // info@UnionCountyCoC.com

Member Application

Ready to partner with us to champion business growth and prosperity? Complete the application below and we’ll be in touch as soon as possible.

Have questions or prefer to speak with someone about joining? Call us at (704)289-4567 and ask for Phillip Faust, Business Development Manager, or email him at Phillip@unioncountycoc.com.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

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 *

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.

Social Network Addresses

Facebook

Twitter

Instagram

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Minority ownership category (51% or more ownership)

Other - Minority Ownership

Woman-Owned (51% or more ownership)

Veteran-Owned (51% or more ownership)

Who Referred You to the Chamber? *

Looks good!

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Step 5:

Comments/Questions

Please complete the Captcha

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Main Office
903 Skyway Drive, Monroe NC 28110
Phone: 704.289.4567
info@UnionCountyCoC.com

Information Center – Indian Trail
First Citizens Bank Lobby
424 N Indian Trail Rd, Indian Trail, NC 28079

Information Center – Marshville
First Citizens Bank Lobby
6705 E Marshville Blvd, Marshville, NC 28103