Member Application

Thank you for your interest in joining the Pickerington Area Chamber of Commerce! We are thrilled to add you to our Team of Businesses who are working together to make the Pickerington Community a GREAT place to live, work, and play! *Dues are not tax deductible as a charitable contribution for federal income tax purposes, but may be deductible as ordinary and necessary business expense.*

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Physical Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Mailing Address
Social Network Addresses

Step 2:

Additional Info
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Social Network Addresses
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Social Network Addresses
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Additional Fees:
Additional Options:
Payment Option
Please complete the Captcha