Chester Business Association 
Membership Application

Date:____________________________

  • Business Name_____________________________________________                                                                                                                                
  • Business Address_____________________________________________

  • City                                                      State                                     Zip         
  •         
  • Phone     
  •  Fax
  • Web Address  ______________________________      E-mail____________________________
  • Principal product/service. ______________________________________________
  • Check One
  • Proprietorship            Partnership                Corporation               Non Profit
  • Representatives:
  • 1. Name                                                 Title                                       E-mail
  • 2. Name                                                 Title                                       E-mail
  • Years in Business  _____________________
  • Recommended for Membership by:
  • Name:__________________________________
  • Business:_________________________________________

  • Applicant’s Signature:                                                                    Title                                         Date:
  • ​
  • Membership Committee Approval Date ________________________________
  • Board of Directors Approval Date _____________________________________
___________________________________________________________________________________________________________________________
Application Fee $5.00 / Annual Dues: Sole Proprietor $25.00 Small Business 25 employees or less $55.00 ; more than 25 employees - $110.00     
Phone 484-487-2494.    Please return with payment to:
Chester Business Association
Attention: Membership Chairman
100 Pennell Street
Chester, PA 19013
www.chesterbusiness.org