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

membership application

Company Name:

Street Address:

City:           State:           Zip:

Phone (Work):           Phone (Home):

Email:        Fax:

Website:

Type of Business:

Date Established:

Brief 2 Line Description of Business:


Principal Representative:      Title:

Insurance Plan Participant: Yes-        No-

Recommended by:

Your Name:

Annual Membership Dues: $125.00
Annual Membership Dues - Non-Profits*: $100.00
One Time Application Fee for New Members: $40

New Member-         Renewal-

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

To help us prevent spam, please enter "4379" here:

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