Membership Application - Greater Canonsburg Chamber of Commerce

Membership Level *

Business/Organization Name *

Upload Your Logo *Please upload a .PNG or .JPEG version of your logo.

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Email Address *

Phone *

Street Address *

City

State/Province

ZIP / Postal Code

ClassificationIs your business:Women-OwnedVeteran-Owned

Industry or Type of Organization

Number of Employees

Years in Operation

Website

Social MediaPlease link your social media accounts.

Primary Contact Name *

Primary Contact Job Title

Direct Email Address *

Direct Phone Number

Secondary Contact Name

Secondary Contact Job Title

Secondary Email Address

Secondary Phone Number

Brief Description of Products/Services

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