Black Chamber of Arizona

Login Details

Company/Individual Name *

Email *

Password *

Confirm Password *

Directory Category *

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

Image

Avatar/Company Logo

Website Url

Website

Add the COMPLETE URL to your Members's website url
only if you know them i.e. https://www.jagdeno.com

Social Links

Facebook

Twitter

Instagram

TikTok

Other

Other url may be a video url or site link.

Add the COMPLETE URL to your Members's social media
only if you know them i.e. https://www.facebook.com/jagjourneyllc

Payments

Total Membership Today

Two Comma Club Membership

Yearly Price: $2,500.00

Setup Fee (If Applicable): $0.00

Directory Enhancement Fee (If Applicable): (+) $0.00

Total Above Fees: $2,500.00

Coupon Applied (If Applicable): (-) $0.00

Total: $2,500.00

Coupon

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

You can use this package benefits, it has days trial period. You can register easily from here.

Card Number

Expiry Date

CVC

If you're paying offline, please remit payments to:

Black Chamber of Arizona

2390 E. Camelback Road

Phoenix, AZ 85016

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!

Member Registrations