Greater Bucks Mont Chamber of Commerce
Join Greater Bucks Mont Chamber of Commerce

membership application
January 1, 2020 - December 31, 2020

Company Name:

Street Address:

City:           State:           Zip:

Phone (Work):           Phone (Home):

Email:        Fax:


Type of Business:

Date Established:

Brief 2 Line Description of Business:

Principal Representative:      Title:

Insurance Plan Participant: Yes-        No-

Recommended by:

Your Name:

Annual 2020 Membership Dues: $150.00
Annual 2020 Membership Dues - Non-Profits*: $100.00
One Time Application Fee for New Members: $50

New Member-         Renewal-

*Proof of non-profit status required, click if non-profit:

False information on application can result in termination of chamber membership.