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

Street Address

Street Address Line 2

CityState / Province

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

FacebookTwitterLinked-InInstagramYouTubePinterestOther
Description of business/service/product (This helps us promote you)
Should be Empty:

Membership Application