Chamber Investment Application

Interested in investment in the Chamber? Complete the following application and it will be processed within two business days.

Please note that your investment in the Chamber is limited to the company listed below and is non-refundable and non-transferable.

General Company Information:
Company Name:
Physical Address:
City, ST Zip: ,
Mailing Address: (if different than above)
City, ST Zip: ,
Phone: i.e. (999) 999-9999
Web site:
General email:
Twitter:
Facebook:
Instagram:
Business Category:
Business Keywords
($20 each):







Main Company Contact:
 
Your Name: (first, last)  
Title:
E-mail:

Other Key Contacts:
 
Your Name: (first, last)
Title:
E-mail:
  (If different than company above, please fill in the following:)
Mailing Address:
Phone: Ext:
 
Your Name: (first, last)
Title:
E-mail:
  (If different than company above, please fill in the following:)
Mailing Address:
Phone: Ext:

Additional Company Information:
Year Established:

Number of employees:

Township, City or Borough:   
Your business is:  


Owner's Name:
Please provide owner's name & check appropriate box below:
     

  How did you first learn about The Chamber?
  May we thank someone for recommending Chamber investment to you?

2018 Investment:










Your Annual Investment: Please select level

Payment Information:
Please make check payable to the Lancaster Chamber. Mail to Lancaster Chamber, ATTN: Business Relations, PO Box 1558, Lancaster, PA 17608-1558.

--OR--
Name on Card:
Credit Card:   Card #:
Expiration:

Comments:


I recognize that our investment in the Lancaster Chamber demonstrates our commitment to the Chamber's work impacting business success and our county's prosperity.

For Additional Service, Questions, or Concerns:
Please contact Hannah Walters, or call the Chamber at (717) 397-3531.