New Member Registration

Name: New Member Registration
SKU: LSCC-AnnMembership
Availability: InStock

$0.00

Annual Membership application and charges. Join today or renew and update any changes to your membership listing. Thank you for being a vital and active participant in the economic success and growth of Hammond, East Chicago and the surrounding Region!

Lakeshore Chamber Membership Application

Step 1 of 5

20%

New or existing member?(Required)

Organization Information

Company Name(Required)

Date

MM slash DD slash YYYY

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Company Email

Company Website

Company Linkedin Page

Company Facebook Page

Billing Address the same as the Physical Address?(Required)

Yes

Billing Address

Street Address Address Line 2 City State ZIP Code

Primary Representative(Required)

First Last

Title

Office/Work Phone(Required)

Cell Phone

Email(Required)

Contact Preference(Required)

Office/Work Phone

Cell Phone

Representative Address the same as the Physical Address?(Required)

Yes

Representative Address(Required)

Street Address Address Line 2 City State ZIP Code

Would you like to add a secondary representative?(Required)

Yes

Alternative Representative

First Last

Title

Office/Work Phone

Cell Phone

Alternative Representative Address the same as the Physical Address?(Required)

Yes

Secondary Representative Address

Street Address Address Line 2 City State ZIP Code

Please List any Additional Representatives Below

Name

Title

Phone Number

Additional Information

Year Established

please enter the year as a number

Referred 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

Payment is required for your membership. If you do not have a PayPal account, the option allows payment via debit or credit card. Note that membership is not official until the Board has recognized and accepted your application.

Total Membership Investment

Coupon

CAPTCHA

Subtotal
Options
Total

New Member Registration quantity

SKU: LSCC-AnnMembership Category: Membership

Description

Description

Lakeshore Chamber Membership Application

Step 1 of 5

20%

New or existing member?(Required)

Organization Information

Company Name(Required)

Date

MM slash DD slash YYYY

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Company Email

Company Website

Company Linkedin Page

Company Facebook Page

Billing Address the same as the Physical Address?(Required)

Yes

Billing Address

Street Address Address Line 2 City State ZIP Code

Primary Representative(Required)

First Last

Title

Office/Work Phone(Required)

Cell Phone

Email(Required)

Contact Preference(Required)

Office/Work Phone

Cell Phone

Representative Address the same as the Physical Address?(Required)

Yes

Representative Address(Required)

Street Address Address Line 2 City State ZIP Code

Would you like to add a secondary representative?(Required)

Yes

Alternative Representative

First Last

Title

Office/Work Phone

Cell Phone

Alternative Representative Address the same as the Physical Address?(Required)

Yes

Secondary Representative Address

Street Address Address Line 2 City State ZIP Code

Please List any Additional Representatives Below

Name

Title

Phone Number

Additional Information

Year Established

please enter the year as a number

Referred 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

Payment is required for your membership. If you do not have a PayPal account, the option allows payment via debit or credit card. Note that membership is not official until the Board has recognized and accepted your application.

Total Membership Investment

Coupon

CAPTCHA

New Member Registration

Lakeshore Chamber Membership Application

Organization Information

Additional Information

Membership Investment

Your membership investment is based on the number full-time employees in your company, including management/owners.

Payment is required for your membership. If you do not have a PayPal account, the option allows payment via debit or credit card. Note that membership is not official until the Board has recognized and accepted your application.

Description

Lakeshore Chamber Membership Application

Organization Information

Additional Information

Membership Investment

Your membership investment is based on the number full-time employees in your company, including management/owners.

Payment is required for your membership. If you do not have a PayPal account, the option allows payment via debit or credit card. Note that membership is not official until the Board has recognized and accepted your application.

Membership

Directory

The Chamber

Events