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Add Primary Company Representative:
(uncheck if you want to skip the main representative information section.)
Primary Representative Details (You may add more later.)
First Name
*
Last Name
*
Title
Same as Company Address
Email
*
Password
*
Address Line 1
*
Address Line 2
City
*
State
*
Zip
*
Country
Company/Individual Address
First Name of Person Signing Up
*
Enter the person's first name, that's registering here today!
Last Name of Person Signing Up
*
Enter the person's last name, that's registering here today!
Primary Phone
*
SPAM PROTECTION: Just type in the numbers after selecting your country code:
8774545563
Physical Address
*
Enter the Physical Address to the business/individual!
Enter the Suite, Apartment or Building Number here!
Enter the Physical Address City/Town to the business/individual!
Enter the Physical Address State to the business/individual!
Enter the Physical Address Zip/Postal to the business/individual!
Enter the country code i.e. US to the business/individual!
Mailing Address
Same as Physical Address
Billing Address
Same as Physical Address
Description
Short Description
Full Description
Website Url
Website
Add the
COMPLETE URL
to your Member's website url
only if you know them i.e.
https://www.jagdeno.com
Social Links
Facebook
Twitter
Linkedin
Instagram
Tiktok
Other
Other
url
may be a video url or site url link.
Add the
COMPLETE URL
to your Member's social media
only if you know them i.e.
https://www.facebook.com/jagjourneyllc
Payments
Total Membership Today
Four-Leaf Clover
Yearly Price: $
25.00
Setup Fee (If Applicable): $
0.00
Directory Enhancement Fee (If Applicable):
(+)
$
0.00
Total Above Fees: $
25.00
Coupon Applied (If Applicable):
(-)
$
0.00
Total: $
25.00
Coupon
Apply
Payment Method
NOTE: On your renewal date, you will be automatically renewed unless you login into your profile settings and turn off auto-renewal or contact us and tell us to stop auto-renewal. [Check payments excluded]
Card
Stripe ACH
Invoice Me
You can use this package benefits, it has days trial period. You can register easily from here.
Card Number
Expiry Date
CVC
Country
Two-letter ISO code representing the country the bank account is located in.
Holder type
Individual
Company
Holder name
Routing Number
Account Number
Make sure you submit payment via Company check or Certified Money Order to:
Dublin Chamber of Commerce
110 S. Patrick St.
Suite: B
Dublin, TX 76446
Pay in Installments (Equated Monthly Installments)
No EMI
3/mos EMI
6/mos EMI
If you choose a payment plan for the one-time payments, you're waiving your first 30-days for free!