Capital Region Economic Development Corporation

Welcome!

To apply for Chamber Membership, please complete the online Membership Application form located below. If you would prefer to apply offline, a printable PDF version is also available:

Harrisburg Regional Chamber Membership Application

45 Kb - Adobe Acrobat - Download a viewer for this attachment

General Information

Name of Firm:
Date:	(01/01/2004)

Billing Address:

Address 1:

Address 2:

City:

State:

Zip:

Township:

County:

Phone:

Fax:

email:

Web:

Mailing Address:

Use Same as Billing Address

Address 1:

Address 2:

City:

State:

Zip:

Representatives

Main Representative's Name:

Title:

email:

Additional Reps:	Mailing Address: (include phone, email and fax if different then above)

Primary / Secondary Business Classification

Please select from “Member Classifications” list. Member firm is entitled to one primary categorical and alphabetical listing in Membership Directory and Member Referral database. A secondary listing is available for an additional annual fee of $50.

Primary Classification:

Secondary Classification ($50) :