New Member ApplicationThank you for your interest in becoming a member! Please fill out the membership application below and a member of our team will reach out to you to complete the process! Please note: All annual membership payments to GOACC are non- refundable, unless received within 14 days of membership start date, then full refund less $35 service fee. The Bank Draft and Credit Card payment plans are continuous membership plans, and will remain in effect until terminated.Please enable JavaScript in your browser to complete this form.Name of Business *Contact Person *FirstLastAddress *Example: 301 N Union St.City *State *Example: NYZip Code *Business Phone Number *Cell Phone NumberEmail *Business Website URLBusiness Facebook URLExample: www.Facebook.com/OleanNYChamberBusiness InstagramExample: @oleannychamberBusiness Type *Hospitality (Restaurant/Bar)RetailService ProviderLodgingGovernmentEducationOtherPlease feel free to elaborate below.Business Type – Additional DetailIn 20-25 words, please describe your business for the directory listing. *Number of Full Time Employees or Equivalents *Number of Part Time Employees *If applicable, who can we thank for your membership referral?Would you like to participate in our Shop Local Gift Certificate program at no additional charge? *YesNoNot SureHow would you like to be billed? *Annually (July 1st)Semi-Annually (July 1st & January 1st)Quarterly (July 1st, Oct 1st, Jan 1st, Apr 1st)Monthly (1st or 15th of the Month)Payment Method *CheckCredit Card*ACH** = requires auth formSubmit
