Membership Application

Join the Central Bucks Chamber online now! After submitting this form, you will be taken to Authorize.net to submit your credit card information. If you prefer to pay by check, click here.

Business Name:
Address:
City:         State:        Zip:
Phone:                Fax:
Email*:
           *For internal use only -       or for publication -
Website:
Number of Employees (including owner):      Full time -       Part time -
          (Note: 2 part time employees will be charged as 1 full time employee)
Principal Representative & Title:
Business Category (select only one):    Accountants Advertising, Marketing & Graphic Design Agriculture Air Conditioning, Fuel & Heating Antiques Architects/Interior & Landscape Designers Art Galleries & Museums Artists & Entertainment Attorneys & Legal Services Automobile & Marine Dealerships Automobile Services Bookstores Broadcasting Business Consultants Business Maintenance Business Services Clothing & Accessories Coaching, Training, Professional Development Computers, Web & Internet Services Construction Day Care Dentists Educational Facilities & Services Electricians Employment Services Engineers Environmental Services Financial Institutions Financial Services Florists Food Services Funeral Directors Furniture/Home Furnishings Government Hardware Health Facilities, Products & Services Health Professionals Home Services Housing Instructional Services Insurance Jeweler & Gift Shops Lodging Manufacturing & Distribution Manufacturer & Sales Representatives Mental Health Professionals Non-Profit Organizations Nurseries & Landscaping Painting & Wallcovering Personal Services Photographers Physicians Plumbers Printing Publications Real Estate Recreation Restaurants Retired Executives Roofers Specialty Stores Sporting Goods Swimming Pools & Supplies Telecommunications & Utilities Transportation Services Travel Agencies Veterinarians, Kennels & Pets Video & Electronic Products Wineries/Vineyards Writing Services
Business Description (30 characters only):     
New or returning member? - new      - returning
NOTE - ALL ABOVE FIELDS ARE REQUIRED

Membership Investment Schedule Number of employees (including owner) Investment 1 - 3      $300 4 - 10      $435 11 - 25      $585 26 - 50      $750 51 - 100      $965 101 - 500      $1230 501 - 999      $1735 1000 +      $2300	Associate Membership For non-profit organizations, churches, civic groups, government & social health agencies with 20 or less paid employees . . . . . . $195 -Click here if you are a qualifying non-profit Non profits & retired executives with over 20 full-time employees pay regular rates Membership is continuous until written resignation is submitted.
One-Time New Member Processing Fee . . . . . . $30
Referred to chamber by:
Committee Sign-Up Please check the committee(s) of your choice for participation. Call the Chamber staff for further information on committee activities, (215) 348-3913.
Architectural & Environmental	Entrepreneurial Assistance
Bucks Fever Artists Studio Tour	Golf Outing
Bucks Fever Brown Bag-It with the Arts	Governmental Affairs
Bucks Fever Development	Health & Wellness
Bucks Fever Film Fest	Leadership Program
Bucks Fever Sculpture Show	Parenting & Family
Burpee Fire Service Awards	Red Ball Gala—biannual
Business Expo	Volunteers
Byers Bucks Fever Art Exhibition	Women in Business
Entrepeneur Committee	Young Professional
All employees are considered members and may sign up for any committee. Committees meet at various times throughout the year. After signing up for a committee, you will be notified via email approximately two weeks prior to the meeting. All Chamber committees meet at the: Central Bucks Chamber of Commerce, Bailiwick Office Campus #23, 252 W. Swamp Road, Doylestown, PA 18901
Captcha * Type the text displayed above - all letters are uppercase: