Member to Member Discount Form

Home

Indian Valley Chamber of Commerce - 100 Penn Avenue, Telford PA 18969 - Chamber Office: 215-723-9472 - Fax 215-723-2490

	If you wish to participate as a discounter in the Member-to-Member Discount Program please complete all information requested below and click on the "Submit" button. YOU MUST BE A CHAMBER MEMBER TO PARTICIPATE AS EITHER A DISCOUNTER OR TO RECEIVE A DISCOUNT. If you are not a Chamber Member, click here to sign up for membership.
Business	Invalid Input
Address	Invalid Input
City, State, Zip (*)	Invalid Input
Amount of Discount (% or $) (*)	Invalid Input
E-mail Address (*)	Invalid Input
Person Authorizing Discount (*)	Invalid Input
Phone Number (*)	Invalid Input
Discount will be offered on the following products/services: (*)	Invalid Input