Become a member! Committee Preferences: Membership Committee Workforce Ready Committee Small Business Special Events Annual Dues: $225, plus $7 per employee Click here to download and save, then fill out the New Member application (fillable PDF), save again as LSCC20xx_MembershipApplication_yourbusiness name. Then send the completed application to lcc@lakeshorechamber.com Or fill out this form! Lakeshore Chamber Membership Application Step 1 of 5 20% New or existing member?(Required)New MemberMember Info UpdateOrganization InformationCompany Name(Required) Date MM slash DD slash YYYY Physical Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company Email Company Website Company Linkedin Page Company Facebook Page Billing Address the same as the Physical Address?(Required) Yes No Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Representative(Required) First Last Title Office/Work Phone(Required)Cell PhoneEmail(Required) Contact Preference(Required) Email Office/Work Phone Cell Phone Select AllRepresentative Address the same as the Physical Address?(Required) Yes No Representative Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Would you like to add a secondary representative?(Required) Yes No Alternative Representative First Last Title Office/Work PhoneCell PhoneEmail Alternative Representative Address the same as the Physical Address?(Required) Yes No Secondary Representative Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please List any Additional Representatives BelowNameTitleEmailPhone Number Add RemoveAdditional InformationYear EstablishedReferred By How did you hear about us? What is your reason for joining? Membership Investment Your membership investment is based on the number full-time employees in your company, including management/owners. Annual Dues(Required) Price: Number of Employees Quantity(Required) Price: $7.00 Quantity Committees are an excellent way to meet fellow chamber members. They also act as an ideal way to development your employees. Through our committee structure, employees are offered an opportunity to enhance their team building, leadership and creative thinking skills. If you are interested in getting involved in one of our committee please select one of our committees below: Committees(Required) Membership Workforce Ready Small Business Special Events Select All Payment Method(Required)PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Total Membership Investment Coupon CAPTCHA