Member Benefits
Become A Member
Event Calendar
Home
Member Directory
Member Discounts
About the Chamber
Networking Opportunities
Board Members
Newsletter
Community Links
Contact Us
phone:
330.896.3023
fax: 330.899.9052
3700 Massillon Road
Suite 115
Uniontown, OH 44685 Email:
Email
Green Chamber Membership Application
Please tell us about your company!
Contact Information
Please fill out your contact information.
The date of your original application or the renewal.
Application / Renewal Date - dd/mm/yy
*
E-Mail
*
Name
*
Owner Name
Owner Title
Manager Name
Manager Title
Business Information
Tell us about your company.
Company Name
*
Please select all applicable business activities. Shift-click to select multiple items.
Business Type
*
Accounting / Auditing
Administrative Support
Advertising / Marketing
Agricultural / Forestry
Architectural Services
Aerospace / Avionics
Arts / Entertainment
Automotive`
Banking
Chemicals
Communications
Community / Social Services
Construction
Consulting Services
Customer Service / Call Center
Distribution
E-Commerce
Education
Electronics
Employment / Staffing
Engineering
Environmental
Fashion
Financial Services / Insurance
Food Agriculture
Government / Politics
Graphic Design
Healthcare
Hospitality
Human Resources
Information Technology
Installation / Maintenance
Insurance
Landscape / Horticulture
Law Enforcement / Security
Legal
Management
Manufacturing
Marketing / Communications
Medical / Health Services
Military
Not-For-Profit
Other
Personal Care Services
Pharmaceutical
Printing
Product Design
Publishing, Media, Advertising
Real Estate
Restaurant / Bakery
Retail
Science
Service
Software Publishing
Sports / Recreation
Technology / Computers
Telecommunications
Textiles
Transportation
Travel
Utilities / Energy
Wholesale / Distribution
Number of Employees
*
Company Phone Number
Company Fax Number
Postal Address
*
Physical Address (if different)
City
State
Zip
Website URL
Membership Information
Membership Level
Nonprofit / Small Business $75
Small Business 1-9 Employees $175
Intermediate 10-49 Employees $275
Enterprise 50-99 Employees $350
Corporate 100+ Employees $550
Your company will be entitled to cast one vote in general membership meetings. In the area below please indicate the name of the individual who will represent your company.
Voter Name
*
Voter Title
*
Voter Address
*
Voter Phone Number
*
Voter Fax Number
Voter Email
*