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	*Chamber Membership Application*


		Membership in the Warren County Chamber of Commerce is open to any bonafide going business or professional individual of reputable nature, legally licensed or permitted to operate in Warren County, Pennsylvania. Membership investment levels are dependent upon the number of employees active in the Warren County region. Listed below are the employee count categories and respective membership investment fees for the Warren County Chamber of Commerce: ^{Sole Proprietor} ^{$ 80 2 - 5 employees $ 155 6-10 employees $ 205 11-15 employees $ 260 16-25 employees $ 375 26-50 employees $ 475 51-75 employees $ 555 76-100 employees $ 725 101-150 employees $ 825 151-250 employees $ 1,000 251-500 employees $ 1,500 501-1000 employees $ 2,250 1001-1500 employees $ 3,400 1501 and above $ 3,800}
	To obtain membership in the Chamber, please complete the information below and submit to us. You will receive confirmation of your membership acceptance within 2 business days Thank you for joining the Warren County Chamber of Commerce

   Company Name:

   Street Address :

   City :

   State: Zip Code :

   Phone : Fax :

   URL:
   Email

   Number of Employees :

   Primary business description

Primary Contact Name:

PAYMENT METHOD

Bill to above address:
Bill To: Master Card : VISA:

Account number:
Expiration Date:


	Warren County Chamber of Commerce P.O. Box 942, 308 Market Street Warren, PA 16365

Phone: 814-723-3050
Fax: 814-723-6024

E-Mail: