Membership
Sunday, 01 January 2012 00:00 | 
2012 Membership Application
To print the application, simply click on the printer icon above. (The document will open in another screen in .pdf format). Applications can also be requested by calling (570) 297-0455 or by email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .
Tell us about your organization:
Company Name: ________________________________________________________
Contact Person: _________________________________________________________
Street Address: _________________________________________________________
City, State and Zip: ______________________________________________________
Phone: ______________________________ Fax: _____________________________
Email: ______________________________ LinkedIn: _________________________
Website Address: _____________________________________
Online Store(s) Website Address: ________________________________
Blog address: __________________________ Facebook: _____________________
Twitter: _________________________ Other Social Media Page: ________________
How did you learn about us? _______________________________________________
Enter a description of your organization and services or products offered:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Category Selection(s): ___________________________________________________
____________________________________________________________________
Authorized Signature: __________________________________________ Date ______
Note: Free basic Business Directory listing consists of Business Name, Contact Person, Address, Telephone, Fax, Email address, one category choice and Google map locator.
Please submit a photo as .jpg attachment for upload for the Introductory Membership business directory listing to our office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it !
Our email address is This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Phone: (570) 297-0455 Fax toll free 1-888-266-4923. Twin Tiers Media Solutions, 28 McBratney Lane, Troy, PA 16947
__ Check here to receive free information about promoting your business on our partner sites, www.wellsboromall.com and www.mansfieldmall.com. Get noticed on these two additional sites for only $35 annually!
2011 Renewal Options
Introductory annual Membership for new members only $49. Upon your one year membership anniversary date, renewal options are listed below according to your business structure.
Semi-Annual Annual
Free Basic Business Directory Listing FREE (includes one category listing, contact info & Google Map Location)
Nonprofit: $50 $85
Sole Proprietorship: $80 $135
Partnership/Corporate/Co-op: $125 $215