MEMBERSHIP APPLICATION
Date: ________________
Organization Name: _______________________________________________________________
Contact Person: ______________________________Title:________________________________
Address:________________________________________________________________________
City: ___________________________________State: ___________ Zip: ____________________
Phone: _________________ Fax: _________________ Toll Free #: _________________________
E-Mail Address: _________________________________________________________________
Web Site:_______________________________________________________________________
Description of Company Services:
_______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Membership Dues Amount: Please contact us at 610-719-1730 for the proper dues amount
___Check Enclosed payable to CCCVB
___Charge my credit card:
Acct.#______________________________________Exp. Date:__________________________
Signature:______________________________________________________________________
Term of membership is one year. Any contributions or gifts to Chester County Conference & Visitors Bureau are not deductible as "charitable contributions" for federal tax purposes. However, dues payments may be deductible by members as a business expense.(Please print this form out and mail it to the address noted above. Thank you for your interest in the Chester County CVB).
CHESTER COUNTY CONFERENCE AND VISITORS BUREAU
17 Wilmont Mews, Suite 400, West Chester, PA 19382
Phone: 610-719-1730 Fax: 610-719-1736 Toll Free Visitors Info. 800-228-9933
www.brandywinevalley.com