BVI Chamber of Commerce Pay It Forward Form This form is used when a person or business wants to pay another business's membership dues Contact: Keiyia George Phone: 284-345-3513 Email: executive.director@bviccha.org The Business You are Supporting Business Name * Enter the name of the business you would like to support Contact Person/Representative Name Title First Name * Last Name * Suffix Contact Number * Email Address Number of Staff Enter 0 if you are not sure and we will call them to confirm. I prefer to donate a specific amount. Enter the amount New or Exisiting Member * New Member Existing Member Is this an existing member? A new member? Supporter's Information You Business Name * Your Name Title First Name * Last Name * Suffix Your Contact Number * Your Email Address Are you an exisiting member? * Yes No Are you an existing member? You may release my logo as supporter (we will not release who the support is for). * Yes No Please upload your logo for marketing purposes I confirm that I would like to pay the dues and all fees for the business listed above and understand that I will be billed directy for such. I understand that all new membership requests must be approved by the BVICCHA’s Executive Committee as per their procedures. Once approved, I understand that the business listed within for whom I am willing to donate membership dues and fees will be contacted by the Chamber's staff regarding this application. I understand that all payments must be received before the membership can be added/renewed. I confirm