Join Us - Greater Lehigh Valley Chamber of Commerce

Please fill out the form below so that we might better serve you.
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):
Please list all of your interests

How did you hear about the Chamber? (Please, check all that apply.)
Membership Investment
Membership Type:
Primary Directory Category
Number of Full Time Employees:  
Number of Part Time Employees:  
   
Total: $ 

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
Annual Dues (charged to card)
tempValueForDropDown1
*
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
Credit Card Type *
Credit Card Number 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.

Upcoming Events

Thank you to our 2018 Directory Sponsors and our Corporate Partners

OUR OFFICES   |   CONTACT US   |   MEMBERS ONLY   |   SUBSCRIBE TO THE CHAMBER

Copyright © 2018 Greater Lehigh Valley Chamber of Commerce.  All rights reserved.