Member Application Form

Membership Application

The Pekin Area Chamber of Commerce is excited to see your interest in membership. Our Member Experience Coordinator will reach out to finalize your application and capture membership dues
Business Owner *

First Name Last Name
Business Name *
Contact Number *
E-mail *
example@example.com
Website *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Type of Business *
Business Hours
What social media site(s) is your business on?

Facebook Twitter Linked-In Instagram YouTube Pinterest Other
Description of business/service/product (This helps us promote you)
Should be Empty:

Membership Application