Join Us - Greater Lehigh Valley Chamber of Commerce

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Organization Information

Company Name:

Primary Contact First Name:

Primary Contact Last Name:

eMail:

Address Line 1:

Address Line 2:

Address Line 3:

City:

State:

Zip:

City / Borough / Township:

Phone:

Fax:

Website:

Additional Contacts

Additional Information

Facebook Page URL:

Twitter URL:

Referred By:

Description:

Keywords:

Do you provide any special offers to members?
If so, please describe:

My business is (check all that apply):

Minority Owned	Female Owned
Downtown Business	Non-Profit
Veteran Owned

Please list all of your interests

How did you hear about the Chamber? (Please, check all that apply.)

Chamber Member	Website
Newspaper	Television
Radio	Attended an Event
Billboard	Broker
Blue Cross	Other

Membership Investment

Membership Type:

Primary Directory Category

Number of Full Time Employees:

Number of Part Time Employees:

Annual Membership Investment

Total: $

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Full-Time Employees
Part-Time Employees

Annual Dues (charged to card)

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Payment Type *

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Credit Card Information

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Join Us - Greater Lehigh Valley Chamber of Commerce

Upcoming Events

Thank you to our 2018 Directory Sponsors and our Corporate Partners

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Upcoming Events

Thank you to our 2018 Directory Sponsors and our Corporate Partners

Join Us - Greater Lehigh Valley Chamber of Commerce