Membership Application

Download Application

Do you have a Chesapeake Alliance member sponsoring you?*

Yes

Name of sponsor*

Applicant name*

Applicant business & title*

Address

Street Address City State ZIP Code

Email*

Phone*

Message*

Other organizations you are affiliated with

Do you hold any political office?

Yes

Enter your political Office*

What interests you about joining the Chesapeake Alliance?*

Are you willing to be an active advocate for the City of Chesapeake?*

Yes

Chesapeake Leadership Circle dues are $1,000/year and used to fund advocacy events at local venues.

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Name

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The Chesapeake Alliance, Inc.

Is an organization of citizens in senior leadership positions who live or work in the City of Chesapeake.

Get In Touch

Chesapeake Alliance.
PO Box 5008,
Chesapeake, VA 23324

Apply For Membership