Lake Gaston Chamber of Commerce Contact Information


	2475 Eaton Ferry Road Littleton, NC 27850 Toll Free: 1-866-730-5711 252-586-5711 FAX: 252-586-3152 Email: lgcc@earthlink.net

		EOY-MEMBER APPLICATION

APPLICATION FOR BUSINESS MEMBERSHIP

The undersigned hereby makes application for membership and agrees to pay The Lake Gaston Chamber of Commerce the applicable annual dues by the 1st day of January each year in order to give the organization a steady and dependable income from which economic and Lake Area Development programs are conducted.

This application is subject to approval by the Board of Directors of the Lake Gaston Chamber of Commerce, and it is understood that the membership fee paid with this application will be refunded if said application is not approved.

END OF YEAR SPECIAL - NEW MEMBER APPLICATION


Firm Name:
Contact Person:
Nature of Business:
Mailing Address:
City:
State:		Zip:
Check if physical address is same as mailing address

If different than mailing address:
Physical Address:
City:
State:		Zip:

Telephone 1:
Telephone 2:
FAX:
Email:
Website:
Referred by:

Choose Membership Type : choose only one Click here to view Membership Information
	$45.00 Basic Full Member for the rest of 2006
	*$35.00 Full Member Associate for the rest of 2006(employer must be a full member)***
	$15.00 Civic, Church, Retiree for the rest of 2006

Membership Extras: Click here to view Membership Information
	$15.00 Link and/or Logo for the rest of 2006: Add a link to you website, email address and/or place your logo on your directory listing.

Choose Category: Click here to view Membership Information
Please choose which category you would like to be listed under in our Online Directory at LakeGastonChamber.com. We offer this as a FREE service to our Chamber Members. For more information contact the office at 252-586-571 or 866-730-5711
Categories:

Describe your business:
	Please provide a brief paragraph describing your business, products and services, which will be featured in the upcoming newsletter and other printed information about our new members

Payment Method:	Online Mail In person
Total Fee Due:

***Please look over and verify your application before submitting. Once you've completed the form, you can go to our convenient and secure payment page to purchase your payment now, or send it to us with your application via regular mail, or stop by the office and make your payment in person. Thank you.

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