Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Facebook

Twitter

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Champion $5,000

Champion membership offers exclusive positioning for your organization and allows you to support the Chamber's work as it strengthens the regional economy. Learn more about specific benefits by viewing our membership packages or calling 570-836-7755.

Leader $2,500

Leader membership is focused on encouraging professional development among your staff and building strong leaders for the future of our region. Learn more about specific benefits by viewing our membership packages or calling 570-836-7755. Available to organizations with less than full-time 100 employees.

Partner $900

Partner membership is focused on aligning your business with other organizations to advocate for the needs of your business and allow for the growth of our community. Learn more about specific benefits by viewing our membership packages or calling 570-836-7755. Available to organizations with less than full-time 100 employees.

Promoter $400

Promoter membership is focused on marketing visibility and growing your connections throughout the region.. Learn more about specific benefits by viewing our membership packages or calling 570-836-7755. Available to organizations with less than full-time 50 employees.

Connector (0-5 Employees) $200

FOR ORGANIZATIONS WITH 0-5 EMPLOYEES Connector membership is focused on helping your organization step out into the community. This package includes a listing in our online and print directory.

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Payment Option

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