Chamber of Business and Industry of Centre County | State College, PA
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the chamber of business & industry
of centre county
Application
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Organization Information (to be displayed online)
Business Name
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Phone
Fax
Website
Email
15 word description of Business.
Main Contact
First Name
Last Name
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Title
Phone
Email
Additional Contacts
Contact 1
First Name
Last Name
Title
Email Address
Contact 2
First Name
Last Name
Title
Email Address
Contact 3
First Name
Last Name
Title
Email Address
Contact 4
First Name
Last Name
Title
Email Address
Contact 5
First Name
Last Name
Title
Email Address
Contact 6
First Name
Last Name
Title
Email Address
Contact 7
First Name
Last Name
Title
Email Address
Contact 8
First Name
Last Name
Title
Email Address
Contact 9
First Name
Last Name
Title
Email Address
Contact 10
First Name
Last Name
Title
Email Address
Billing Address (if different)
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Mailing Address (if different)
Address 1
Address 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Additional Information
Top 3 Reasons You Joined
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Networking Opportunities
Economic Development
Health Insurance Program
Member Discount Programs
Training Opportunities
Financial Assistance
Gov't Advocacy for Business
Member to Member Benefits
Other
Referred By
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CBICC Membership Plaque
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Membership Investment
Membership Type
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Business Membership
Non-Profit
Gov't Agency/Office
Individual Realtor
*Individual/Retiree
Individual Elected Official
Incubator
*No business promotion
Primary Directory Category
None
Accounting
Accounting Services
Advertising
Air Purification
Air Travel
Airport Administration
Ambulance Service
Answering Service
Apartments
Appraisals
Architects & Engineers
Art / Music Instruction
Assisted Living / Adult Day Care
Association
Attorneys
Auctioneers
Audio Visual
Auto Accessories
Auto Dealer
Auto Rentals
Auto Repair
Automotive Service - Car Wash
Bakery
Bank / Financial Institution
Banquet Facility
Bed & Breakfast
Brewery / Distilleries
Building Materials
Bus Companies / Limo Service
Business Intelligence/Discovery
Business Services
Cabinetry
Campground
Carpet / Upholstery Cleaning
Catering / Food Services
Cellular / Pagers
Cemetery / Memorial Park
Chiropractic
Churches / Places of Worship
Cleaning, Janitorial & Restoration Services
Coffee / Beverage Service
Commercial / Retail Space
Communications
Computer Dealer / Services
Construction (Home Builders / Land Developers)
Consulting
Consulting (Analytical Service)
Consulting (Business & Management)
Consulting (Employee Benefits)
Consulting (Environmental)
Consulting (Health & Wellness)
Consulting (Health Care)
Consulting (Human Resources / Employee Benefits)
Consulting (Human Resources)
Consulting (Hydrogeologic)
Consulting (Technology)
Contractors (Concrete)
Contractors (General)
Contractors (Heating / Air Conditioning)
Contractors (Heavy Equipment)
Contractors (Home Builders / Remodeling)
Contractors (Insulation)
Contractors (Other)
Convention Center
Credit Union
Dance Instruction / Performance
Dentists / Periodontists / Orthodontists
Development
Distributor
Distributor (Plumbing / Heating)
Drafting Services
Dry Cleaning
Economic Development
Education
Electric
Electrical Supplies
Embroidery / Sewing
Employment Agency
Energy
Engraving / Awards
Entertainment & Amusement
Equipment Rental
Equipment Service & Repair
Event Planning
Excavation
Executive Searches
Financial Planning & Investments
Financial Services
Fire Protection
Funeral Home
Gas
Gift Certificate Sales
Glass
Golf Course
Government
Graphic Design
Grocery Store
Gymnastics / Dance
Health Care
Health Care (Hearing)
Health Club / Fitness Training
Historic Site
Home Inspection
Hospital
Hydrogeologic Consulting
Illustrator, Technical
Individual
Industrial / Manufacturing
Insurance
Interior Design
Landscaping/Nurseries/Lawn Care
Laundry Services
Legal Services
Library
Lodging: Hotels, Motels & Lodges
Mailing Services
Manufacturing (Analytical Service)
Marketing/Digital Marketing Consultants
Marketing/Marketing Research
Massage
Media (Online)
Media (Print)
Media (Radio)
Media (Television)
Medical Spa
Mobile Development
Mortgage & Settlement Services
Motorcycle Sales & Service
Moving & Storage
Museum
Natural Resource Development
Non-Profit / Social & Community Service
Office Equipment
Office Furniture/Design
Oil/Fuel
Optical
Other
Packing & Crating
Paint & Wallpaper
Payroll Services
Pest Control
Pet Care & Supplies/Veterinary Service
Photography
Physical Therapy
Physicians/Surgeons
Plumbing
Printing & Copying Services
Property Maintenance
Property Management
Psychology/Psychiatry
Public Relations
Public Transportation
Real Estate/Development
Realtor
Refuse/Recycling
Rehabilitation
Rental Services/Supplies
Research and Development
Restaurant
Retirement
Security Systems
Security Systems/Locksmith
Senior Services
Shopping
Shopping (Agriculture)
Shopping (Amusement)
Shopping (Antiques)
Shopping (Appliances)
Shopping (Art)
Shopping (Beauty/Hair)
Shopping (Book Store)
Shopping (Carpet/Floor Covering)
Shopping (Clothing/Apparel)
Shopping (Clothing/Jewelry)
Shopping (Convenience Store)
Shopping (Department Store/Shopping Center)
Shopping (Electronics)
Shopping (Florist)
Shopping (Furniture)
Shopping (Hobbies)
Shopping (Home Products)
Shopping (Housewares)
Shopping (Jewelry)
Shopping (Online)
Shopping (Pools & Spas)
Shopping (Sports)
Shopping (Toys)
Shredding / Records Destruction
Signs
Silk Screening
Software Development
Spa
Specialty Foods/Gift Baskets
Speech Therapy
Sports Training/Camps
Storage
Telecommunications
Telephone Sales & Service
Theatre
Tours
Training
Translation Service
Transportation
Travel Agency
Tree Service/Arborist
Trophies/Awards
Trucking/Freight
Uniforms
Vending
Video
Warehousing
Wastewater Treatment
Water Company
Weather and Climate Services
Web Development/Internet Services
Wellness
Winery
Writing
none
Number of Full Time Employees
Number of Part Time Employees
Enhanced Online Listing ($50)
Annual Membership Investment
Additional Items
One-Time Application Fee
Total
The contents of this box are for testing purposes. This box will be removed when the form goes live.
Tax
Additional Categories Cost
Number of Rooms
Number of Seats
Number of Associates
Number of Locations
Millions in Assets
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
Additional Categories
Number Of Additional Categories
Additional Categories Cost
Additional Item 1 Cost
Additional Item 2 Cost
Additional Item 3 Cost
Additional Item 4 Cost
Additional Item 5 Cost
Additional Item 6 Cost
Additional Item 7 Cost
Additional Item 8 Cost
Additional Item 9 Cost
Additional Item 10 Cost
Annual Dues (charged to card)
Non Profit
Govt Agency Office
Individual Realtor
*IndividualRetiree
Individual Elected Official
Revenue Item
Tax (charged to card)
Fee (charged to card)
Temp Value For DropDown 1
MembershipType
Additional Item 2
Additional Item 3
Additional Item 4
Additional Item 5
Additional Item 6
Additional Item 7
Additional Item 8
Additional Item 9
Additional Item 10
Payment Type
Credit Card
Check
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Credit Card Type
Mastercard
Visa
Discover
Amex
Credit Card Number
Name on Card
Security Code
Valid Through
01
02
03
04
05
06
07
08
09
10
11
12
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
AG
BN
BS
CH
CL
CM
CP
DF
DU
GR
GT
JA
MC
MR
MX
NA
OA
PU
QE
QR
SI
SL
SO
TB
TL
TM
VE
YU
ZA
Outside US
Outside Canada
Outside Mexico
Zip
Phone
Credit Card Email Address
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