LGACOC Online Membership Application

Instructions

Select An Option

Business Prime (Grow) $500 Annually + $25 One-Time Fee

Business Basic (Connect) $250 Annually + $25 One-Time Fee

Non-Profit, Religous, & Civic Organization $150 Annually + $25 One-Time Fee

Elected Officials $75 Annually + $25 One-Time Fee

Individuals $100 Annually + $25 One-Time Fee

Senior & Veterans (>65) $25 Annually

Please only select this membership if you are a Veteran or Senior (65+).

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