Chamber Home, Southern Wayne Regional Chamber of Commerce, PA

Patty Blaum
Executive Director

Phone: (570) 689-4199
Fax: (570) 689-4391

Membership Application

Submit your application today!

Simply fill in the form below and press submit.

Company Name:
Contact Name:
Address:
Address 2:
City:
State:
Zip code:
Telephone #:
Fax #:
Email Address:
Type of Business:
Number of Employees:
Do you have a website?
Would you like your website linked with ours?
In consideration of the satisfaction and value received from joining others in serving the best interests of the community, I hereby pledge my investment to the Southern Wayne Regional Chamber of Commerce.

Thank you.

$75.00 Retirees (friends of the Chamber)

$100.00 Non-Profit Organizations

$125.00 Single Proprietorship Business (no employees)

$150.00 Business with Employees