Application for New Chamber Membership or Membership Renewal

If you would like to become a member of the Wyoming County Chamber of Commerce or renew your existing membership, complete the form below. Credit cards are accepted through Paypal. Payment instructions will be given after the form is successfully submitted to the Chamber's office.

Business Name*
Contact Person
Business Address
Mailing Address
Telephone Number
Toll-Free Numbers
Referred By
Number of Employees
Please note: part-time employees will be pro-rated on a 2:1 ratio
(i.e. 2 part-time employees = 1 full-time employee)
Year Business Established
Annual Dues Rate:
-Rate is based on number of employees and is valid from January - December.
-Please contact the Chamber 585-237-0230 for more information on the perks associated with a Community Investor Membership.
*If you have a second or third business, you can sign up each additional business as a member at a 50% discount. Contact the Chamber office for details.
Please provide a description of your business in 50 words or less (for existing members, please enter changing information if necessary):
(your description will be listed on the Chamber's website with a free link to your website)

Volunteer for Working Committees:
Please select the Chamber committes you are interested in serving on and a representative will contact you.

Industry Legislative Marketing/Membership Small Business Agriculture
I would be willing to serve on the Board of Directors in the future
I would like to have my business listing on
I would like to have my business listed on
I would like to be contacted about purchasing advertising in the Business Directory and/or Travel Guide
I am interested in purchasing health insurance through the Wyoming County Chamber of Commerce
I do not wish to be on the Member-to-Member mailing list
I give the Chamber permission to email or fax me information related to my membership
GO GREEN I would like to receive all chamber communications (newsletters, invoices, event registrations, invitations etc.) via email

*Clicking the Submit Application button will send your application to the Chamber's office.