Lemont Area Chamber of Commerce
Lemont Chamber Membership Application
Company Name:
*
Primary Phone:
*
Fax Number:
*
Alternate Phone:
E-Mail:
*
Toll-Free Phone:
Website:
Cell Phone:
Address:
*
City:
*
State:
*
Zip:
*
Business Category:
*
Contact Name:
*

Contact Preference: *
 Email   Mail   Fax   Phone

Phone Preference: *
 Work   Home   Cell   Alt.

Number of Employees:
*

Fair-share dues schedule based on the number of full-time employees.
Please indicate below:

One Time Administrative Fee $ 35
1-5 Employees & Non-Profit Organizations $150
6-10 Employees $175
11-25 Employees $225
26-49 Employees $350
50+ over Employees $500

Year started Business:
*

Application Date:
*

Description of Business: (200 chars) *



Hours of Operation: (100 chars) *



Driving Directions: (200 chars) *



Keywords:*


* required fields


Chamber Membership is deductible from corporate or individual tax returns.
Please make checks payable to:

Lemont Area Chamber of Commerce
101 Main Street
Lemont, IL 60439-3675
630.257.5997
Fax 630.257.3238

All new applications are subject to Board approval.







©2008 Lemont Chamber of Commerce website by echo design group