membership application 2016 2017

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Central PA CVB Membership Application FOR THE FISCAL YEAR JULY 1, 2016 - JUNE 30, 2017 MEMBER INVESTMENT $ _________________________ One time new member processing fee = + $20.00 TOTAL = $_________________________ PAYMENT MUST ACCOMPANY THIS FORM IN ORDER TO BE PROCESSED Please make checks out to: Central PA Convention & Visitors Bureau To pay by credit card (Visa and Mastercard accepted) please call Kevin Breon at 814-231-1401 PA SALES TAX NUMBER (Lodging and Restaurant properties should also include a copy of local and state occupancy permits): _________________________ [ ] I/We certify that this business complies with all state and/or local guidelines. MEMBERSHIP DUES: Membership dues are non-refundable. This membership will be billed annually unless notification is in writing 30 days prior to renewal date. I understand the Rules of Membership. By providing the contact information listed above I agree to receive communication via mail, e-mail, fax and/or telephone, sent by or on behalf of the Central PA Convention & Visitors Bureau. Signature:_______________________________________________ Date:___________________________________________________ CONTACT INFORMATION (not for publication) Primary Contact [ ] Mr. [ ] Mrs. [ ] Ms. [ ] Hotel properties check if contact should receive leads Name: _________________________________________________ Title: __________________________________________________ Phone#: _______________________________________________ Contact E-mail: _________________________________________ Secondary Contact [ ] Mr. [ ] Mrs. [ ] Ms. [ ] Hotel properties check if contact should receive leads Name: _________________________________________________ Title: __________________________________________________ Phone#: _______________________________________________ Contact E-mail: _________________________________________ Marketing Contact [ ] Mr. [ ] Mrs. [ ] Ms. [ ] Hotel properties check if contact should receive leads Name: _________________________________________________ Title: __________________________________________________ Phone#: _______________________________________________ Contact E-mail: _________________________________________ **For additional contacts, please list on a separate page and attach with your membership application. PUBLISHED LISTING INFORMATION (Online and in Bureau publications) Company Name: __________________________________________________________________________________________________ Physical Address: __________________________________________________________________________________________________ City, State, Zip: ____________________________________________________________________________________________________ Billing Address*:____________________________________________________________________________________________________ *only if different than mailing address (not for publication) Website: _________________________________________________________________________________________________________ Facebook: _____________________________________________________________ Twitter: ____________________________________ Main Phone #: ___________________________________ Toll Free: _____________________________ Fax: ________________________ Organization/Property E-mail: _________________________________________________ Distance to PSU: ________________________ 800 E. Park Ave., State College, PA 16801 | 814-231-1400 | VisitPennState.org

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CPCVB Membership application for 2016-2017

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Page 1: Membership application 2016 2017

Central PA CVB Membership Application

FOR THE FISCAL YEAR JULY 1, 2016 - JUNE 30, 2017

MEMBER INVESTMENT $ _________________________

One time new member processing fee = + $20.00

TOTAL = $_________________________

PAYMENT MUST ACCOMPANY THIS FORM IN ORDER TO BE PROCESSED

Please make checks out to: Central PA Convention & Visitors Bureau

To pay by credit card (Visa and Mastercard accepted) please call Kevin Breon at 814-231-1401

PA SALES TAX NUMBER(Lodging and Restaurant properties should also include a copy of local and state occupancy permits): _________________________[ ] I/We certify that this business complies with all state and/or local guidelines.

MEMBERSHIP DUES: Membership dues are non-refundable.This membership will be billed annually unless notification is in writing 30 days prior to renewal date. I understand the Rules of Membership. By providing the contact information listed above I agree to receive communication via mail, e-mail, fax and/or telephone, sent by or on behalf of the Central PA Convention & Visitors Bureau.

Signature:_______________________________________________

Date:___________________________________________________

CONTACT INFORMATION (not for publication)

Primary Contact[ ] Mr. [ ] Mrs. [ ] Ms.[ ] Hotel properties check if contact should receive leads

Name: _________________________________________________

Title: __________________________________________________

Phone#: _______________________________________________

Contact E-mail: _________________________________________

Secondary Contact[ ] Mr. [ ] Mrs. [ ] Ms.[ ] Hotel properties check if contact should receive leads

Name: _________________________________________________

Title: __________________________________________________

Phone#: _______________________________________________

Contact E-mail: _________________________________________

Marketing Contact[ ] Mr. [ ] Mrs. [ ] Ms.[ ] Hotel properties check if contact should receive leads

Name: _________________________________________________

Title: __________________________________________________

Phone#: _______________________________________________

Contact E-mail: _________________________________________

**For additional contacts, please list on a separate page and attach with your membership application.

PUBLISHED LISTING INFORMATION (Online and in Bureau publications)

Company Name: __________________________________________________________________________________________________

Physical Address: __________________________________________________________________________________________________

City, State, Zip: ____________________________________________________________________________________________________

Billing Address*:____________________________________________________________________________________________________

*only if different than mailing address (not for publication)

Website: _________________________________________________________________________________________________________

Facebook: _____________________________________________________________ Twitter: ____________________________________

Main Phone #: ___________________________________ Toll Free: _____________________________ Fax: ________________________

Organization/Property E-mail: _________________________________________________ Distance to PSU: ________________________

800 E. Park Ave., State College, PA 16801 | 814-231-1400 | VisitPennState.org

Page 2: Membership application 2016 2017

q Number of Cabins/Cottages: _______________ q Number of Guestrooms : _______________q Airport Shuttle Serviceq Dumping Stationq Guest Laundryq Free Wifiq Pets Permittedq Spa Services

q Distance to PSU: ___________ milesq Air Conditioningq Allow Childrenq Fitness Centerq Handicap Accessibleq Jacuzzi/HotTubq Pool - Outdoorq Store

q Season: _______________q Business Centerq Free Parkingq Hookups / Electricq Long Term Accommodationsq Pool-Indoorq TV Cableq Social Gatherings

q Starting Rate: $______________q Complimentary Breakfastq Game Room/Golfq Hookups / Sewerq Meeting Facilitiesq Restaurant/Barq Furnished Kitchenq Private Bath

q Total Number of Sites: _______________q Credit Cardsq Gift Shopq Hookups / Waterq Organized Activitiesq Showersq Smoke Free (Facility)q Smoke Free (Rooms)q Family Friendly

THINGS TO DOq Arts & Entertainmentq Attractionsq Nightlifeq Historic Sitesq Shopping (choose a sub-category) q Antique, Gift and Furnishings q Apparel & Accessories q Books/Bookstores q Florist and Garden Centers q Grocers, Convenience Stores & Pharmacies q Penn State Apparel & Souvenirs q Shopping Centers and Associations q Retailers & Specialty q Sporting Goods and Hobbies q Toys and Games q Wineries and Farm Marketsq Activities & Recreation (choose a sub-category) q Fishing & Boating q State Parks q Hiking & Biking q Sports & Outdoors q Adventure

OTHER SERVICESq Associations/Organizationsq Banksq Churches

q Communications/Media/Public Relationsq Designersq Educationq Employmentq Health & Human Servicesq Meetings and Conventionsq Pet Kennelq Printers/Signsq Promotional Items/Imprint/Embroideryq Real Estate / Apartment Rentalsq Retirement Communitiesq Salons/Spasq Service/Agencyq Sports Facilitiesq Transportation/Travel/Tour

PENN STATEq Sports & Recreationq Visual & Performing Artsq Agriculture & Natureq Diningq Eventsq Local Servicesq Hospitalityq Toursq State Parksq Hiking & Bikingq Sports & Outdoors

q Adventure

LODGINGS & RESERVATIONSq Hotels, Motels & Innsq Bed & Breakfasts & Hostelsq Lodges and Vacation Rentalsq Campgroundsq RV Rentalsq Pet Lodging

DININGq American/Steakhouseq Asian Restaurantsq Banquet & Cateringq Cafe And Deliq Cajun And Creole Restaurantsq Coffee Shops, Bakeries & Delisq Family Dining Restaurantsq Fast Foodq Fine Diningq Italian Restaurantsq Mexican and Southwesternq Pizza, Subs and Sandwichesq Tavern Fare and Beveragesq Wine & Spirits q Craft Breweries & Pubs

DESCRIPTION OF MEMBER: (used for web listing-public use)Please print a description about your products/services. This description is your company’s first impression to visitors and meeting planners; choose your description carefully. *

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

60 CHARACTER DESCRIPTION FOR VISITORS GUIDE:Please print a 60-character description about your products/services. Descriptions over 60-characters will be edited by the marketing department at their sole discretion. This description is your company’s first impression to visitors and meeting planners; choose your description carefully. Lodging properties do not require a listing as they are represented in our guide via a lodging grid. *

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*I understand that CPCVB has the right to edit my description if necessary. I understand that my business will be listed under the categories shown unless a change is indicated.

LODGING PROPERTY AMENITIES: (Check all that apply)

CATEGORY LISTINGS: Please select ONLY ONE category that BEST describes your company/business. Additional listings available, call to inquire 814-231-1401.

800 E. Park Ave., State College, PA 16801 | 814-231-1400 | VisitPennState.org