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Lakeshore Chamber of Commerce Application Form
Please fill in all fields. Once we receive your completed application form, an invoice will be sent for membership dues in the amount of $65.00. Thank you for your interest in the Lakeshore Chamber of Commerce. We look forward to working with you in an effort to promote your business and the greater community.
	Company Name
	Your Title or Position
	Business Owner
	Street Address of Business
	City, State, Zip Code
	Mailing Address
	City, State, Zip Code
	Telephone #1
	Telephone #2
	Email Address
	Year Company Established
	Number of Employees
	Product or Service Offered
	Type of Business: (Your business will be listed on the website under the category you choose from this section.)	Please indicate which category best describes your business: Computer, Advertising, Print & Web Design Financial & Insurance Health Care Manufacturing & Utilities Professional Services Realtors Recreation & Fitness Restaurants, Food, & Lodging Shopping & Services School, Government, & Non-Profit Transportation Miscellaneous
	Brief Description of Business (This description will be used on the website and possibly in the Chamber Newsletter.)
	Business Web Site Address (The Chamber provides a link from the Chamber website to your business website.)
	Quarterly Newsletter (Please indicate if you would prefer to receive the Quarterly Newsletter via "email" or "postal mail.")	Please enter your preference: "email" or "postal mail"