Member - PEC Chamber

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

Province:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook Twitter

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter

Membership Options

Membership Package: *

Regular Chamber Membership: $195.00
Annual membership to PEC Chamber of Commerce Not-For-Profit Membership: $100.00
Membership for not-for-profit and charities Bronze Sponsor: $500.00
Silver Sponsor: $1,000.00
Gold Sponsor: $1,500.00
Platinum Sponsor: $2,000.00

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address