Lakeshore Chamber of Commerce Application Form
Please print the application form below and send it with payment to:
Lakeshore Chamber of Commerce
4290 Red Arrow Highway, PO Box 93
Stevensville, Michigan 49127 USA

Please make checks payable to: Lakeshore Chamber of Commerce

Click here to return to Lakeshore Chamber of Commerce Home Page.

Company Name:  
Title:Executive:  
Physical Address:  
City:State:Zip:  
Mailing Address:
 
City:State:Zip:
 
Telephone:Fax:
 
Internet Web Site Address:  
E-mail Address:  
Year Established:  
Number of Employees:
 
Product / Service:
 

Brief Description of Business (provided information will be posted on the Chamber web site)

 
Membership Fee Enclosed: $65.00 per calendar year (Make checks payable to: Lakeshore Chamber of Commerce)

Lakeshore Chamber of Commerce
4290 Red Arrow Highway, PO Box 93
Stevensville, Michigan 49127 USA
 
Click here to return to Lakeshore Chamber of Commerce Home Page.