Home
About Us
The Dream Team
Board of Directors
Committees
Contact
COVID-19
Free COVID Training and Resources
COVID-19 Archives
Hospitality CARES Grants
Membership
Join Now!
Member Login
Affiliates
Events
Calendar
Legislative Summit
ProStart
Golf Tournament
Statewide Celebration
Convention
Raffles
Education & Training
Calendar
Alcohol Server Training
Food Safety
Free COVID Training and Resources
Sexual Harassment Prevention
Understanding Unconscious Bias
ServSuccess
ProStart
Scholarships
Advocacy
Publications
Alaska CHARR - the Magazine
Alcohol Price Index
Resources
Born By Materials
Home
About Us
The Dream Team
Board of Directors
Committees
Contact
COVID-19
Free COVID Training and Resources
COVID-19 Archives
Hospitality CARES Grants
Membership
Join Now!
Member Login
Affiliates
Events
Calendar
Legislative Summit
ProStart
Golf Tournament
Statewide Celebration
Convention
Raffles
Education & Training
Calendar
Alcohol Server Training
Food Safety
Free COVID Training and Resources
Sexual Harassment Prevention
Understanding Unconscious Bias
ServSuccess
ProStart
Scholarships
Advocacy
Publications
Alaska CHARR - the Magazine
Alcohol Price Index
Resources
Born By Materials
Application
To view this form, please enable JavaScript in your browser.
Please use this online application to sign up for an Active Voting Membership. If you are signing up for an Associate Membership or adding an Additional Unit to your current Active Voting Membership, please contact our office at 907-274-8133.
Organization Information (to be displayed online)
Organization Name
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Phone
Fax
Website
Email
Main Contact
Copy from Organization-Information
First Name
Last Name
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Title
Phone
Email
Additional Contacts
Add/Remove Contacts
Contact 1
First Name
Last Name
Title
Email Address
Contact 2
First Name
Last Name
Title
Email Address
Contact 3
First Name
Last Name
Title
Email Address
Contact 4
First Name
Last Name
Title
Email Address
Contact 5
First Name
Last Name
Title
Email Address
Contact 6
First Name
Last Name
Title
Email Address
Contact 7
First Name
Last Name
Title
Email Address
Contact 8
First Name
Last Name
Title
Email Address
Contact 9
First Name
Last Name
Title
Email Address
Contact 10
First Name
Last Name
Title
Email Address
Billing Address (if different)
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Mailing Address (if different)
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Additional Information
Referred By
How did you hear about us?
What is your reason for joining?
Please have someone contact me regarding
Business Resources
Community Involvement
Cost Savings Programs
Economic Development
Government Relations
Networking
Training Opportunities
Other
Membership Investment
Membership Type
Select one...
Active Voting
Primary Directory Category
None
Bar
Beverage Dispensary
Brewery
Club
Common Carrier
Distillery
Distributor
Government
Hotel
Outdoor Rec Lodge
Package Store
RDP
Restaurant
Seasonal
Wholesale
Winery
Additional Directory Categories
Select additional directory categories below by holding the "CTRL" key
Secondary categories may be subject to additional fees
none
Total
Your application for membership is an agreement to receive emails and texts containing association information such as newsletters, invoices and call to action notices.
Check this box to opt-out of email and text communications.
The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
Additional Categories
Number Of Additional Categories
Additional Categories Cost
Additional Item 1 Cost
Additional Item 2 Cost
Additional Item 3 Cost
Additional Item 4 Cost
Additional Item 5 Cost
Additional Item 6 Cost
Additional Item 7 Cost
Additional Item 8 Cost
Additional Item 9 Cost
Additional Item 10 Cost
Annual Dues (charged to card)
Revenue Item
Tax (charged to card)
Fee (charged to card)
Temp Value For DropDown 1
Membership Type
Additional Item 1
Additional Item 2
Additional Item 3
Additional Item 4
Additional Item 5
Additional Item 6
Additional Item 7
Additional Item 8
Additional Item 9
Additional Item 10
Number of Full Time Employees
Number of Part Time Employees
Number of Rooms
Number of Seats
Number of Associates
Number of Locations
Millions in Assets
Annual Membership Investment
Additional Items
Additional Categories Cost
One-Time Application Fee
Tax
Payment Type
Credit Card
Check
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Copy from Organization Information
Credit Card Type
Mastercard
Visa
Discover
Amex
Credit Card Number
Name on Card
Security Code
Valid Through
01
02
03
04
05
06
07
08
09
10
11
12
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Phone
Credit Card Email Address
Please click submit only one time. The transaction may take several seconds.