If you would like to become a member of the Greater Reston Chamber of Commerce, please print the following form and fax it to the GRCC at 703 707-9049. Questions?
Company Name:
Address:
City: State: Zip:
Phone: FAX:
E-mail address:
President/CEO/Owner:
Name: Title:
Designated Representative:
Name: Title:
Sponsored by: The Reston Web
Dues:
Dues are based on the total number of employees at the location joining with three part/time counted as one full time employee. Corporate membership entitles all employees to all membership benefits. Membership is renewed annually in January.
No. of Employees Annual Dues
1-5 $ 200
6-10 $ 250
11-25 $ 350
26-50 $ 425
51-100 $ 500
101-200 $ 600
201-500 $ 700
Over 500 $1,000
No. of Employees Annual Dues remitted $
Registration Fee $25.00 (waived for January)
Business Classification
Payment by Check VISA MasterCard
Credit Card No. Expiration Date
Signature
