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ChamberMaster Template
Member Application
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
*
Email:
*
Directory Category:
*
--- Select Primary Category ---
Accessibility Contractor
Accountants
Advertising Consultants
Apartment Finding Services
Apartments
Architects
Art & Design Services
Art Galleries
Attorneys & Legal Services
Automotive Services
Bakeries
Banks & Financial Institutions
Business & Neighborhood Associations
Business Coaching & Consulting
Business Services
Car Sharing & Transportation
Caterers
Child Care
Children's Activities & Services
Chocolatiers
Churches
Cleaning Services
Co-Working & Office Spaces
Coffee & Tea Shops
Computer Services
Consignment Shops
Contractors
Costume Rental
Cultural Institutions
Dispensaries
Dry Cleaners
Educational Facilities
Elected Officials
Employment Services
Entertainment & Theaters
Event Planners
Event Services & Venues
Financial Consultants
Florists & Landscapers
Framing Services
Gifts & Cards
Government & Public Officials
Graphic Designers
Grocers
Hair & Skin Care Products
Hardware Stores
Health & Fitness
Health Care
Health Care: Chiropractic
Health Care: Dentists, Endodontists & Orthodontists
Health Care: Mental Health
Health Care: Optical
Heating & Air Conditioning
Holistic Health & Wellness
Home Furnishings & Accessories
Home Renovation & Remodeling
Home Repairs & Maintenance
Hospitals & Medical Centers
Hotels & Lodging
Ice Cream Shops
Industry
Insurance
Interior Designers
Internet Service Providers
Jewelers
Kitchen & Bath Design
Life Coaching
Mailing Services & Shipping Supplies
Marketing & Public Relations
Massage Therapy
Mortgage Services
Moving & Storage
Music & Dance Classes
Networking Groups
Nonprofit Management
Office Supplies
Payment Technologies & Services
Payroll Services
Personal Chef Services
Personal Success Coach
Personal Trainers
Pet Services & Animal Care
Photography
Plumbing Services
Political Parties & Candidates
Press
Printers
Professional Organizing Services
Promotional Incentives & Products
Publishers
Real Estate Development & Management
Real Estate Investment
Real Estate Sales: Commercial
Real Estate Sales: Residential
Restaurant Design, Supply & Technology
Restaurants: Bars, Pubs & Taverns
Restaurants: Casual Dining
Restaurants: Fine Dining
Retail
Retail: Beer, Wine & Spirits
Retail: Bookstores
Retail: Children's
Retail: Clothing
Retail: Lingerie
Retail: Shoes
Retirement Communities & Senior Care
Salons & Spas
Security
Signs & Banners
Snow Removal
Social Services
Sports & Recreation
Tailors
Telecommunications
Travel Agencies
Tutoring
Utilities
Videography
Waste & Recycling Services
Web Design & Development
Window Treatments & Blinds
Writers & Writing Coaches
Employees:
*
Full-time
Part-time
Comments / Questions:
How did you hear about the LPCC?:
Date your business opened:
Reason for joining the LPCC:
Brief description of your business (used by staff for referral purposes):
Physical Address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Social Networking:
LinkedIn
Facebook
Twitter
Youtube
Instagram
TikTok
Primary Contact Information
First Name:
*
Last Name:
*
Title:
*
Phone:
*
Fax:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Billing Contact Information
Same as Primary Contact
First Name:
Last Name:
Title:
Phone:
Fax:
Email:
Contact Preference:
Email
Phone
Login:
Password:
Membership Options
Membership Package:
*
Sole Proprietor Membership
:
$290.00
Small Business Membership
:
$390.00
Premier Membership
:
$690.00
Chairman's Club Sponsorship
:
$1,700.00
Silver Sponsor
:
$2,750.00
Additional Fees:
Administrative Fee ($25.00)
:
$25.00
Administrative Fee
Additional Opportunities:
We will contact you with additional information.
Online Directory Enhanced Package ($150.00)
:
$150.00
Only available with Sole Proprietor or Small Business Membership
Additional Category Listing ($25.00)
:
$25.00
Additional Category Listing
Payment Option:
Charge my credit or debit card
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of Lincoln Park Chamber of Commerce. I grant Lincoln Park Chamber of Commerce permission to contact me regarding my account, news, updates, and offers.
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