Lake Zurich Area Chamber of Commerce Joing Us Form

Complete the form below. A chamber representative will contact you shortly to complete your membership.

Company

Employees (full-time or full-time equivalent):		Miscellaneous:
1-5 6-20 21-50 51-100 101-200 201+	$205.00 $260.00 $320.00 $375.00 $480.00 $500.00	Government Hospitals Utilities Not-For-Profit	$290.00 $290.00 $500.00 $135.00

Representative Name

Address

City

State

Zip Code

Phone

Fax

Website

Position

# Employees

Business Description

(200 characters or less)

Referred by:

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