Become a Member

New Member Application

Company Information
Company:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip:
*
Phone 1:
*
Phone 2:
Fax:
E-mail:
*
Website:
Bus. Category 1:
Bus. Category 2:
Bus. Category 3:
Full-time Employees:
Part-time Employees:
Business Description:
Established Date:
Members-only Account Login
Members-only allows you to update your information online via a secure login.
Admin E-mail:
*
Password:
*
Verify Password:
*
Contacts
Primary Contact
Prefix:
First Name:
*
Last Name:
*
Suffix:
Familiar Name:
Title:
 
Billing Contact
 
Annual Dues Investment
Full Time Employees
Amount
1-10
170.00
11-25
220.00
26-50
345.00
51-100
470.00
101-199
570.00
200+
1,270.00
$170.00
$770.00
$120.00
$105.00
$270.00
$0.00
$1,520.00
Total:
$0.00
I hereby apply for membership with the Wharton Chamber of Commerce & Agriculture and agree to abide by the by-laws of the Chamber. I understand that my yearly dues investment will be the amount specified above (unless I have selected the developer option, in which case my yearly dues investment will be negotiated) and will be due and payable with this application (unless I have selected the developer option, in which case they will be due after negotiations have taken place) and each yearly anniversary therafter.

I understand that my membership application is subject to approval by the current Chamber Board of Directors.
Security Code:
Please enter the security code above.
  
Powered By CC-Assist.NET