Member Application

Thank you for your interest in joining the Penfield Business Chamber. You may complete the application form online below and pay with a credit card. If you prefer to pay with a check, download the application here, print and return it to us with a check.

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:

Referred by:

Business Quadrant:

Committee Interests:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

General Membership: $100.00
General membership includes members-only access to our website where you can add as many business reps/contacts as you wish, as well as post community or member-2-member hot deals and job openings on our website. Premium Membership: $250.00
Premium Membership includes General Membership benefits, plus premium logo placement on our website and newsletter, and special recognition as a Premium Member at events. PLUS PRE-PAYMENT FOR one person from your business (transferable on an event-by-event basis) for the following events: • 5-business focused workshops (including breakfast or lunch) • Business Vitality and Economic Development Update Presentations (including breakfast or lunch) • PBC networking events* and annual holiday party. *Does not include RBA networking events, Business of the Year Award Dinner, Lunch Bunch or participation in Annual Golf Tournament.

Payment Option:

Charge my credit or debit card

Print Application