For Your Business. For Our Community.
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P:717.273.3727
F:717.273.7940
604 Cumberland Street
Lebanon, PA 17042-5272

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Benefits of Membership
Group Benefits for Members
Member-to-Member Discounts
Membership Application
The Chamber at a Glance
Testimonials
Membership Application
  • 1Company Information
  • 2Membership Investment
  • 3Payment
Complete the form below to submit your membership information to the Lebanon Valley Chamber. Upon
review and approval of your application you will be sent a confirmation email with your membership
information and payment options.

* = required

Business/Organization Information:
Business/Organization Name:
Type of Business/Organization:
*Primary Representative's Name:
Primary Representative's Title:
Primary Representative's Email Address:
*Street Address/P.O. Box:
*City/State/Zipcode:
*Phone/Fax:
Website Address:
Billing & Voting Contact Information:
Billing Representative:
*Billing Representative's Email Address:
Street Address/P.O. Box:
Same as above
City/State/Zipcode:
Voting Representative:
Voting Representative's Email Address:
Additional Information:
Additional Representative 1:
Additional Representative 1 Email Address:
Additional Representative 2:
Additional Representative 2 Email Address:
How did you hear about the Lebanon Valley Chamber?


Reasons you decided to join the Lebanon Valley Chamber?


Who can we thank for your decision to join the Chamber?
* All membership applications are subject to approval by the Chamber's Board of Directors.

Permission is given for the Lebanon Valley Chamber to send unsolicited email and fax
communications to the addresses provided above.

Membership investments in the Lebanon Valley Chamber of Commerce are not tax deductible as
a charitable contribution, put a portion is deductible as a business expense. As the Chamber
engages in lobbying, under federal law (5) percent of investments for 2017 are
non-deductible; 95 percent are deductible.

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604 Cumberland Street
Lebanon, PA 17042-5272

P: 717.273.3727 F: 717.273.7940

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