Annual Membership Data Verification

This form will capture any updated information from members to make sure their data is true & correct.

Thank you for taking the time to complete this data verification form. You will be given the opportunity to update or change any information that was incorrect for your business/organization.

If the information is correct, please check YES, and move to the next section.

Employee Updates

Do you have any new hires, role changes, or departures? At the end of this form, you will be able to upload an updated employee list that includes employee names, titles, phone numbers, and email addresses

Log into your membership hub account and update your employee list (Click on My Info and then Related Contacts tab to view and edit your employee lists).

If you have any questions, please contact Angie Hornberger, Accounts Payable & Data Quality Clerk, at ahornberger@lancasterchamber.com.

Fields marked with an * are required.

Page 1/6

Data Entry Individual
Enter in the Information of the person who is completing this survey

First Name *

Last Name *

Email *

Organization *

Page 2/6

Data Verification - Number of Employees

Full-Time Employees in Lancaster County* *

Please enter the number of Full-Time Equivalent (FTE) Employees in your business/organization in Lancaster County.

Page 3/6

Organization Data Verficiation - Directory Listing
Update any organization address information for your organization that is not true or correct.

Membership Business Directory Listing (Physical Address) *

My Member Business Directory Listing (Physical Address) is correct.

If NO, please fill out the correct information below before moving to the next section. If YES, then check yes and move to the NEXT section

Yes - My information is true & correct.

No - My physical address (member business directory listing) is not correct.

________________________________________________________________

Main Contact First & Last Name

Address Line 1

Address Line 2

City

State

Postal Code

Phone

Default Website

Page 4/6

Data Vertification - Billing Contact
Update any organization billing contact information for your organization that is not true or correct.

Membership Billing Contact Information *

My Billing Contact Information is correct.

If NO, please fill out the correct information below before moving to the next section. If YES, then check YES and move to the NEXT section.

Yes - My billing contact information is true & correct.

No - My billing contact is not correct.

________________________________________________________________

Billing Contact First Name

Billing Contact Last Name

Billing Contact Address 1

Billing Contact Address 2

Billing Contact City

Billing Contact Postal Code

Biling Contact Email Address

Billing Contact State Providence

Page 5/6

Data Verification - Business Category

Primary Business Category

Please select the Primary Business Category (One) for your business/organization from the list below.

If you are interested in being listed under an additional business category, please contact lriehl@lancasterchamber.com (Any added business categories will be an additional annual fee of $25 for each category.)

Page 6/6

Employees (New Hires/Role Changes/Departures)
Update your employee list with any new hires, role changes, or departures.

Employee Updates

Do you have any new hires, role changes, or departures? Upload a list of your employees names, titles, and email address or log into your membership hub and updated your employee list. ((Click on My Info and then Related Contacts tab to view and edit your employee lists)

If you do not have any updates or changes to your employees, click SUBMIT to complete your Lancaster Chamber Membership data verification.

20MB max

not secure

Get Connected & Stay Engaged!