Membership Application

The Enterprise Zone Corp. of Braddock, serving Braddock, North Braddock, Rankin and Swissvale seeks members each year to become members of the Enterprise Zone Corp. of Braddock. To be eligible as an individual or organization you must be residing within, working, owning property or a portion of a property in and/or a member of an organization in the Braddock, North Braddock, Rankin and Swissvale area.

Name(Required)

First Last

Affiliation

Address(Required)

Street Address Address Line 2 ZIP Code

Phone(Required)

Email(Required)

Contact Person(s)(Required)

Reason for interest in becoming a member: (for new members)

Category of Membership(Required)

Companies and institutions with 25 or more employees - $50.00

Companies and institutions with 5 to 24 employees - $35.00

Companies and institutions with 4 or less employees - $25.00

Residents - $10.00

Payment(Required)

I would like to mail a check to Suite 110, 501 Braddock Avenue, Braddock, PA 15104

I would like to receive an online link to pay via email