Member Application

Thank you for your consideration in becoming a member of the Lombard Chamber of Commerce. We are a broad-based business organization representing nearly 9,000 jobs in the Lombard area. Each Membership Tier, Classic thru Diamond Circle, comes with benefits that you can use throughout the year. Please select the tier with the benefits that are best suited to your business needs. For all benefit levels, payment plan options are available. Please fill out all of the required fields, and any optional fields as you choose. You will be able to access these fields at a later time to complete your online presence on our website. Quarterly and Monthly Payment Plans are available. PLEASE CALL US AT 630-627-5040 WITH YOUR CREDIT CARD INFORMATION. Installment payments will automatically be charged to your credit card. Membership becomes active when 1st installment is received. New Member Set-up Fee will be charged separately. If you have any questions throughout the application process, do not hesitate to call us at (630) 627-5040.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Social Network Addresses

Facebook

Twitter

You Tube

Google +

Instagram

Step 2:

Additional Info

Business Description *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Payment Options *

Looks good!

How did you hear about the Lombard Chamber? *

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What is your top reason for joining the Lombard Chamber? *

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Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

City

State

Postal Code

Country

Facebook

Twitter

You Tube

Google +

Instagram

Create Account

Password

Step 4:

Billing Information

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

City

State

Postal Code

Country

Social Network Addresses

Facebook

Twitter

You Tube

Google +

Instagram

Create Account

Password

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Pages

Members

Categories

Quicklinks

Events

Upcoming Events

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Information

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Additional Fees:

Additional Options:

Payment Option