APPLICANT INFORMATION

Full Name *

Business/Organization

Title/Role

Email *

Phone *

Website (Optional)

Address

Street Address

City

State

Country

Postal Code

MEMBERSHIP TYPE

Sell Products *

Corporate (50+ employees) Membership

Subscription

$250

BUSINESS DETAILS

Industry/Sector:

Brief Description of Business:

FAITH ALIGNMENT

The PACCC exists to connect and strengthen those who seek to honor Jesus Christ in life and business.

1. Briefly share your Christian testimony or faith background:

2. Church / Christian community involvement:

ETHICAL COMMITMENT

PACCC membership calls for honorable conduct that reflects a biblical worldview.

3. Do you agree to uphold biblical, professional and ethical standards within your field?

Yes

No

4. Do you acknowledge and agree to live in alignment with PACCC’s Statement of Faith and Christian values?

Yes

No

Read statement of faith agreement

By applying for membership, you affirm: *

You support and agree with PACCC’s Statement of Faith

You seek to live a life that reflects biblical teaching

You desire to honor God in business and personal conduct

I affirm the above:

Yes

No

Read Code of Conduct & Membership Covenant

By applying for membership, you understand and agree that:

You are expected to pursue a life consistent with Christian moral and ethical standards

PACCC reserves the right to revoke or deny membership if a member’s conduct:

Contradicts the Statement of Faith
Is openly inconsistent with biblical teaching
Causes harm to the reputation, witness, or mission of the Chamber

I understand and agree:

Yes

No

WHY DO YOU WANT TO JOIN THE CHAMBER?

(1–3 sentences)

SIGNATURE

By signing below, I affirm that the information provided is accurate and that I agree to abide by the Statement of Faith, uphold biblical and professional ethical standards, and honor the values of the PA Christian Chamber of Commerce.

I understand that membership may be revoked at the discretion of Chamber leadership if I fail to uphold these commitments.

Signature:

Clear

Printed Name:

Date:

Membership - Corporate Application