Registration

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LIGHTHOUSE POINT CHAMBER OF COMMERCE

MEMBERSHIP APPLICATION FORM

Membership Level – please review membership benefits and eligibility, then select one: Membership term July 1, 2010- June 30, 2011 calendar year.

$500 PLATNIUM MEMBER
$200 SPONSOR MEMBER
$95 SMALL BUSINESS ENTITY/PERSON –OR- LHP RESIDENT/BUSINESS OWNER

Category:

Name:

Business Name:

Business site URL:

B Address:

State:

ZIP:

City:

Business Telephone:

Business Facsimile:

Residential Address:

E-mail address:

(for newsletters, e-invites, etc.)

Password:

Password re:

Please indicate your reasons for joining the LHP Chamber of Commerce:

Please indicate your interest in which Committees you would serve with in order to keep the Chamber active:

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