Member - CM Application - AGC of East Tennessee

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (500 char max): *

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Member Category: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

General Contractor Membership: See fee schedule to determine the fee and enter it below.
Dues include: Chapter dues (includes $50 optional PAC fee). Dues do not include contributions to the Construction Center Trust. Fiscal year - July 1 thru June 30. Dues are prorated monthly. Please click on Fee Schedule or call for details Associate Membership: $850.00
Specialty Contractors - $850.00 includes an optional PAC fee of $50.00 Affiliate Membership 1: $850.00
Service Providers - $850.00 includes an optional PAC fee of $50.00 Affiliate Membership 2: $850.00
Suppliers - $850.00 includes an optional PAC fee of $50.00 If using fee schedule, enter fee here:

Additional Opportunities:

We will contact you with additional information.

Plan Room : $700.00
Daily Update Monday - Friday. 24/7 Access to AGC HUB Workspace

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address