Membership Application

Please fill out the form below completely, or click here to download a printable version of the application.
download a printable version

2008 Membership Dues:

Required fields *

New Business $99    0 - 5 employees $150    6 - 10 employees  $190    11 - 20 employees $220    21 - 30 employees  $250    31 - 50 employees $310    51 - 100 employees  $380    101 - 500 employees $495    501 or more $600

New businesses verifiably less than 6 months old, pay only $99.00 for your first year’s dues. Charitable 501(c)3 Organizations ... $150. Ask about multiple business rates

Business Name: *

Date Business Opened:

Mailing Address: *

Legal Entity Status: *

*

Select One Corporation Partnership Sole Proprietorship

*

*

Street Address:

Contact Person: *

Title: *

Select One Owner Co-Owner Manager Sales Rep

Additional Contact Person:

Title:

Select One Owner Co-Owner Manager Sales Rep

Phone: *

Fax:

E-mail: *

Cellular Phone/Pager:

Web Site URL:

Discount to Chamber Members:

Number of Employees:

Full Time:  

Part Time:  

Category Listing for Member Directory:

Select One Other Accountants Advertising/Marketing Alarm Systems Antiques Appliances/Appliance Repairs Architects Arts Education Attorneys Auctioneers Audio Visual Audiology Automobile Body Repair & Painting Automobile Dealers Automobile Rental & Leasing Automobile Repair & Service Automobile Supplies Automobile Financing Bakers Banks/Credit Unions Banquet Facilities Barbers Beauty Services Bicycles Billiards Brokerage Builders Builders Supply Burial Vaults Cable TV Campgrounds Candy & Confectionary Carpentry Carpet Dealers Carpet, Rug & Upholstery Cleaners Caterers Cellular Phones Cemeteries Child Care/Nursery Schools Chiropractors Churches Cleaning Services Closets & Closet Accessories Clothing Clowns Clubs & Organizations Collectibles Collection Agencies Computer Consultants Computer Sales & Service Concrete Consignment Shops Consultants Contractors Controls Copying & Duplicating Copying Machines & Supplies Cosmetic Consulting Costume Design Country Clubs Dairy Dance & Fitness Instruction Deliveries Dental Surgery Dentists Department Stores Distributors Dog Training Dry Cleaners Dry Wall Contractors Electrical Engineers Electrolysis Employment Services Engineers/Engineering Services Engraving Entertainment Environmental Excavating Feed & Grain Financial Services Fire Equipment First Aid Flags Floor Refinishing Floor Coverings Florists Food Products Forklifts Fuel Products Funeral Home/Services Furniture Garden Center Gift Shops Glass Golf Centers Governement Graphic Design Gymnastics & Fitness Heating & Cooling Home Builders Home Improvements Home Inspections Hotels/Motels Individual Membership Industrial Equipment Insurance Interior Decorating Internet/Web Designers Jewelry Lancscape Architects Landscaping Lawn & Garden Libraries Limosine Services Liquor Stores Locksmiths Machine Shop/Services Mailing Services Manufacturers Representatives Massage Therapy Medical/Dental Supplies Metal Finishers Moving Music Newcomer Programs Newspapers Novelties Nursing Facility Nutrition Products Office Equipment & Supplies Opticians Optometrists Orthodontists Orthopedics Oxygen Painting/Wallpapering Paper Supplies & Products Paving Payroll Services Pet Shops/Services Pharmacies Photographers Physical Therapy Physicians & Surgeons Piano Tuning/Repairs Pizzerias Plumbing & Plumbing Supplies Podiatrists Printers Private Investigators Property Management Public Relations Publishers Radio Real Estate Remodeling Rental Property Research & Delelopment Restaurants & Taverns Roofing & Siding Scholarships/Grants Schools Scrap Metals Screen Printing Senior Citizen Housing Service Stations Sewing Machines Sheet Metal Sheltered Works Shipping Services Signs Sound Systems Specialty Products Specialty Training Storage Supermarkets Swimming Pools Tax Preparation Telecommunications Television Repair Theaters Transmissions Travel Tree Services Trophies & Awards Truck Dealers/Repair Uniforms Upholsterers Utilities Vacuum Cleaners Van Conversions Vending Veterinary Services Wallpapering Water Treatment Welding Wellness Centers Windows & Doors Youth Programs

Additional Categories $10 each:

Briefly Describe Your Business:

I'd like to serve on this committee:

Government Affairs  Education  Membership  Economic Development  Office Help  Marketing

Please Send Information About:

  Group Health Insurance

  Group Dental Insurance

I'd like to make an additional donation to the Lancaster Area Chamber CARE / GAIT Scholarship Fund:

  Yes

Amount: