The Penn-York Valley of Athens PA, Sayre PA, Waverly NY

Membership / Renewal Application

GREATER VALLEY CHAMBER OF COMMERCE
“Your Key To Your Community”
109 Chemung St., Waverly, NY 14892
Phone: 607-249-6192
Jan Lee ~ Executive Director
Jan.gvcc@gmail.com

DUES STRUCTURE:
Sole Proprietor/Owner/Operator ... $100
Association / Non for profit ... $100
2-10 Employees ... $180
11-25 Employees ... $290
26-50 Employees ... $490
51-150 Employees ... $610
150 plus Employees ... $720

*Required Fields

*Business Name:

CONTACT INFO:
*First Name:
*Last Name:
*Cell:
*E-Mail:

New Member - Complete All Sections
Renewal - See Changes Below
Renewal - No Business Info Changes Needed

BUSINESS INFO
(You may skip this section if the business information at pennyorkvalley.com is correct)

Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:
Website:
Number of Full-Time Employees:
BUSINESS CATAGORY
(You may view our present catagory options in the dropdown under the logo in the header)

MISC

1) How do you prefer correspondence? Email Mail
2) Would you like to schedule a chamber mixer at your business? Date
3) Are you interested in being a Board of Director?
4) Do you wish to accept Valley Gift Certificates?
5) Are you interested in offering a Member 2 Member Discount?
. . Your discount will be:
6) For new/relocated businesses, when would you want to hold your ribbon cutting?

Payment Method:
After submiting this form, I will pay the above total via
my Paypal account
as Paypal Guest using my Credit Card
a check mailed to GREATER VALLEY CHAMBER OF COMMERCE 109 Chemung St., Waverly, NY 14892

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Thank you for your continued support!

Website Accessibility

Greater Valley Chamber of Commerce | Member Area | pennyorkvalley.com

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