Membership Application

Instructions

Please complete all required fields on the application. Contact Lisa Kennedy, Director of Business Development, with any questions regarding membership - lisa@westmorelandchamber.com; 724-834-2900 ext. 202 or Option 1.

Select An Option

Champion $6000 Annually + $25 One-Time Fee

Advocate $3000 Annually + $25 One-Time Fee

Partner $1750 Annually + $25 One-Time Fee

Investor $600 Annually + $25 One-Time Fee

Supporter $285 Annually + $25 One-Time Fee

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

Membership Application

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