Member - Lombard Area Chamber of Commerce and Industry, IL

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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.
Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (500 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Payment Options: *

How did you hear about the Lombard Chamber?: *

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

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter You Tube Pinterest Google + Instagram

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook Twitter You Tube Pinterest Google + Instagram

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook Twitter You Tube Pinterest Google + Instagram

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Diamond Member - $2000 Paid Yearly: $2,000.00
See Membership Tiers Graphic for benefits associated with this tier. Diamond Member - $500 Paid Quarterly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Diamond Member - $167 Paid Monthly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Executive Member - $795 Paid Yearly: $795.00
See Membership Tiers Graphic for benefits associated with this tier. Executive Member - $200 Paid Quarterly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Executive Member - $67 Paid Monthly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Premier Member - $495 Paid Yearly: $495.00
See Membership Tiers Graphic for benefits associated with this tier. Premier Member - $125 Paid Quarterly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Premier Member - $42 Paid Monthly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Classic Member - $295 Paid Yearly: $295.00
See Membership Tiers Graphic for benefits associated with this tier. Classic Member - $74 Paid Quarterly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Classic Member - $25 Paid Monthly: See fee schedule to determine the fee and enter it below.
Select "Bill Me" as your payment option, enter the fee below, then call us with your credit card information. Basic Member - $200 Paid Yearly: $200.00
See Membership Tiers Graphic for benefits associated with this tier. If using fee schedule, enter fee here:

Additional Fees:

New Member Set-up Fee : $40.00
New Member Set-up Fee

Additional Opportunities:

We will contact you with additional information.

Enhanced Web Listing : $300.00
Available as an Ala Carte item for Basic and Classic membership tiers. Enhanced Web Listings are automatically included in Premier Executive and Diamond membership tiers.

Payment Option:

Bill me Charge my credit or debit card

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