Membership Application - Arkansas State Chamber of Commerce

(For additional contacts, please submit this form and then complete it again.)

Company Name(Required)

Name(Required)

First Last

Title(Required)

Type of Business(Required)

Mailing Address(Required)

Street Address City State ZIP Code

Recruited By

Phone Number(Required)

Fax Number

# of Arkansas Employees(Required)

NAICS#(Required)

Associated Industries of Arkansas (AIA) is the industrial group of the State Chamber. An issue may arise of greater importance to the manufacturing sector than to general business, so AIA may pursue it. If your company’s NAICS code begins with a 2 or a 3, you will be identified as an AIA member and receive a complimentary membership in the State Chamber as well.

If you are interested in serving on committees that deal with any of the following issues, please check:

Committees

Arkansas Small Business Council

Health

Unemployment Compensation

Education

Tax

Workers' Compensation

General Program Rates

EMPLOYEES

1-10

11-25

26-35

36-50

51-75

76-100

100-plus

DUES

$300

$500

$750

$1,000

$1,250

$1,500

$2,500

Dues Payment Method(Required)

PINNACLE Program: Step up today as a PINNACLE member and join others who support the State Chamber/AIA at the highest levels.

PINNACLE Level (optional)

$35,000+ APEX

$25,000 SUMMIT

$10,000 PEAK

$5,000 CROWN

Contribution to the State Chamber PAC

In dollars

Contribution to the AIA PAC

In dollars

PACS Payment Method(Required)

General Program Rates

Apex and Summit Pinnacle Members

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Refund Policy