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Membership Application

Membership Registration

Business Name *

Category *

Name of Primary Contact *

Title

Business Mailing Address

City

State/Province

Zip/Postal

Phone *

Fax

Email *

Website/URL

# of Full-time Employees

# of Part-time Employees

Annual Dues

Your enrollment includes a FREE membership in the U.S. Chamber of Commerce. (Some restrictions apply - and member may opt for one / any of US Chamber Benefits.)

Annual Dues *

Call for quote if uncertain about investment level

If yes, please list name of Chamber(s)

Are you interested in receiving the FREE membership in the U.S. Chamber of Commerce and PA Chamber of Commerce?

Yes

Payment

Method of Payment *

Check made payable to "Mon Valley Regional Chamber"

Bill me

Credit Card*

*Chamber will call you in 2-3 business days for information

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Dues Rates

1 Employee Only / Owner-Operator: $175
2 to 10 Employees: $225
11 to 50 Employees: $275
51 Employees and Up: $325 + $1.50 per employee over 50
Associate Member: $85
Elected Officials: $110
Municipalities: $110
Non Profit Organizations: $110 + $1.00 per employee over 5
Utilities: $525
Additional Locations: add $30 each

*Have more than one business? Call for quote and ask about out family multi-business discount.
Note: 2 part-time employees = 1 full-time employee.