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The Chamber
Economic Development

Member Application

Thank you for your interest in joining the Carbon Chamber & Economic Development Corporations growing Membership! We offer various membership packages with prices starting at just $400. Download our PDF of membership levels HERE!

Please fill out the membership application to the best of your ability so that we may better serve you. The red asterisk (*) indicates that the field cannot be blank.

Questions? Contact our Member Relations Team: Alice Wanamaker alicew@carboncountychamber.org | 484-274-2080 or Kylie Adams KylieA@LehighValleyChamber.org

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Youtube

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Referred By

Spouse Name

How did you hear about us?

Would you like to host a ribbon cutting or on site event?

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Youtube

Create Account

This Login is already in use

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Primary Contact Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Youtube

Create Account

This Login is already in use

Please add your login username.

Password *

Please add your login password.

Step 5:

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Corporate Sponsors & Partners

DISCOVER YOUR BOLD in Carbon County...

137 South Street, Lehighton, PA 18235

info@carboncountychamber.org

(610) 379-5000

Carbon Chamber & Economic Development

Satellite Office: Inside Mauch Chunk Trust

Pine Point Plaza, Rts. 903 & 534,

Albrightsville, PA 18210

Disclaimer Notice: Please note that we make every effort to ensure that the copy, logo or image content uploaded to this website by Carbon Chamber employees and/or its affiliates, contractors is owned, licensed and/or used with permission by the Carbon Chamber & Economic Development Corp. (CCEDC). However, any copy, logo or image content either donated by or uploaded to this website by non-CCEDC employee, non-CCEDC affiliated or non-contracted third-parties is beyond our control, and therefore, the Carbon Chamber & Economic Development Corporation (CCEDC), its employees, affiliates and contractors are released from from liability for any claims of copyright violation or financial damages caused by third-party copy, logo or image donation and/or upload to this website.