Affiliate Membership Application


Organization Information
Organization Name
Address
Address 2
City
State
Zip Code
Country

Phone
Fax
Organization Email
Website

Total Annual Revenue
Total Number of Members
Number of Staff

Referred to ACCE by

Executive Information
First Name
Last Name
Official Title
Direct Telephone
Email

Staff Information ACCE provides benefits for all of your chamber staff, not only the chief executive, at no additional cost! A portion of your ACCE membership investment covers the cost of subscriptions to Chamber Executive magazine. You are entitled to two subscriptions. You may add more staff members via email after your application has been submitted.
Full Name
Title
Email
Chamber Executive Magazine?

Full Name
Title
Email
Chamber Executive Magazine?

Full Name
Title
Email
Chamber Executive Magazine?

Affiliate membership is $550 per year and tentative pending board approval.