Membership ApplicationThank you for joining the Cranberry Country Chamber!Company Name*Name* First Last Email PhoneAddress* Street Address City State / Province / Region ZIP / Postal Code Website Linked In PageFacebook PageNumber of Full Time Employees*Number of Part Time Employees*Membership Investment Calculation--type in "1" here Quantity* Price: $275.00 Quantity Membership Investment Base Investment of $250 includes up to 3 employees* First time member pays $25 initiation fee for a total of $275 for first year.Additional Full Time Employees - add that total here Quantity* Price: $5.50 Quantity $5.50 per additional full time employee. If you have over 3 full time employees, please enter the amount hereAdditional Part Time Employees - add that total here Quantity* Price: $2.75 Quantity $2.75 per additional part time employee. If you have under 3 full time employees, two part time employees equal one full time employee.TotalBilling Address* Street Address City State / Province / Region ZIP / Postal Code Credit Card*American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name How did you hear about the Cranberry Country Chamber?*Please let us know how you heard about us to become a member?Did someone refer our Chamber to you? Let us know who so we may thank them! Attended an event? Which one? Online search / website? Other? Thank you!Δ