Nashville Area Junior Chamber of Commerce

Become a Member - Join Form

Join NAJCC

NAJCC Membership Application for 2008

Please use this form only if paying by credit card (We accept Mastercard and Visa only).

If you wish to pay by check, download the pdf file and mail or fax to:

Nashville Area Junior Chamber of Commerce
618 Church Street, Suite 220
Nashville, TN 37219
615.254.7047 fax

If you have questions regarding membership, please call Sharon Smith, Director of Membership at 615.250.7776 or email ssmith@xmi-amc.com.

* Indicates Required Fields

New Renewal / Update

* First Name

Middle Name

* Last Name

Company Name

* Address

Address 2

* City

* State

* Zip Code

* Work Phone

Work Fax

* Email Address

Home Address

Home City

State

Zip Code

Home Phone

Cell Phone

Sponsor Name

* Birthday (mm/dd/yy)

Spouse's Name

To get to know you better, tell us about yourself:

* What are your primary work responsibilities? (You can check more than one box)

Sales

Public Relations

Operations

Advertising

Finance/Accounting

Marketing

Human Resources

Education

Other

* What is your level of managment?

Executive

Senior

Mid-level

Entry Level

Other

* What is your main area of interest within NAJCC?

Professional Development

Networking

Philanthropy

Other

* How did you hear about NAJCC?

Website

Employer

Other

NAJCC Member

Please list:

* Method of Payment

Annual Membership Dues: $200

One Time Application Fee: $ 50 (New Member Only)

* Total Amount Due: $

* Credit Card

Visa Master Card

* Credit Card Number

* 3 Digit Code on back of your card

* Billing Address