LGACC Membership Application – LA GRANGE AREA CHAMBER OF COMMERCE

Instructions

Select An Option

Business Basic $250 Annually

Individual Basic Membership $100 Annually

Senior $25 Annually

Business Plus $295 Annually

Business Prime $500 Annually

Type Description Here... Provide Membership Details....

Non-Profit $150 Annually

Political Party Member $75 Annually

Political Candidate $75 Annually

Political Candidate

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist