Sitemap: text only

To become a member of the Piqua Area Chamber of Commerce:.

  • Complete and print this form. Send it with your dues check to:

Piqua Area Chamber of Commerce
P.O. Box 1142
Piqua, OH  45356
937.773.2765

 

 

See Dues Structure for your company's annual dues.

For Members: to update your organizations information in the Chamber's database,
please email:  info@piquaareachamber.com .

Membership Application Form
Company Name:*
Contact Prefix:
Contact First Name:*
Contact Last Name:*
Contact Title:
Contact Email: 
Mailing Address:* 
City:*
State:*     Zip:*
Phone:*    Fax:
Street Address:
City:
State:     Zip:
Organization Type:
Corporation Type:
Number of Partners:    employees:
Year Established: (please use four digit date, i.e. 1974)
Market:
Import?:
Export?:
Company Website:
Company Email: 
Business Description:
(Include key words for database searching)
                  
Questions/Comments