Member Application

To become a member of the Greater Reading Chamber Alliance, please complete and submit the Membership Application. GRCA Membership is activated upon receipt of annual investment payment. If you wish to pay with a credit card, you may complete and submit the application on-line (below). If you wish to pay with a check, please complete the on-line application, print out the completed application, and mail it with payment to: Greater Reading Chamber Alliance 606 Court Street Reading, PA 19601 Make checks payable to “Greater Reading Chamber”. If you have any questions about GRCA Membership, please contact Kirsten Haas at KHaas@greaterreading.org or 610-898-7785

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Directory Category: *

Berks Municipality :

Indicate email (if any) to display in company listing:

May we thank someone for recommending the Chamber to You?:

Physical Address

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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: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Enricher: $10,000.00
Annual Investment Influencer: $5,000.00
Annual Investment *Not available for companies with 100 employees or more Innovator: $2,500.00
Annual Investment *Not available for companies with 75 employees or more Catalyst: $1,000.00
Annual Investment *Not available for companies with 50 employees or more Incubator: $500.00
Annual Investment *Not available for companies with 25 employees or more

Payment Option:

Charge my credit or debit card