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 new members/ Annual Dues : Individual proprietors $25.00; Small Business 25 employees or less - $55.00; Businesses with more than 25 employees - $110.00
Please return with payment to:
Chester Business Association
Attention: Membership Chairman
100 Pennell Street
Chester, PA 19013
www.chesterbusiness.org
484-487-2494
www.chesterbusiness.org
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 new members/ Annual Dues : Individual proprietors $25.00; Small Business 25 employees or less - $55.00; Businesses with more than 25 employees - $110.00
Please return with payment to:
Chester Business Association
Attention: Membership Chairman
100 Pennell Street
Chester, PA 19013
www.chesterbusiness.org
484-487-2494
www.chesterbusiness.org