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Application Form for the
Phoenixville Area Chamber of Commerce

Print, mail or fax form

Phoenixville Area Chamber of Commerce
171 East Bridge St.
Phoenixville, Pa 19460
610-933-3070
fax 610-917-0503

Date of application:
Name of business:
Phone Number:
Fax:
E-mail address:
World Wide Web address:
Address:
City, State, Zip:
Business Classification and description:
Number of employees:
Date established in the area:
Representative Signature:

 

Check one:      
$125.00 - Civic Organizations $350.00 - 11 to 25 employees
$850.00 - Utilities and Hospitals $450.00 - 26 to 50 employees
$550.00 - Banks and S&L's $500.00 - 51 to 99 employees
$125.00 - Individuals $600.00 - 100 to 199 employees
 $100.00 - Retirees $700.00 - 200 to 299 employees
$175.00 - 1 to 5 employees $750.00 - 300 to 399 employees
$250.00 - 6 to 10 employees $800.00 - 400 to 499 employees
    $850.00 - 500 or more employees
       
 

* Add a $25.00 one-time Application fee.

I apply for membership in the Phoenixville Area Chamber of Commerce. The information on this application is accurate and complete. I will abide by the By-laws and procedures of the Chamber and understand that membership in the Chamber is annual. My company will hold the membership and may charge its represents at will.

If my membership is terminated, any use of the Chamber's name or reference to the Chamber will be immediately discontinued. Information on this application may be used for Chamber promotion such as press releases and other Chamber publications but will not be used for other purposes.

Amount Enclosed:

 

 

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