Membership Application
If you have any questions while completing this form, please contact membership@lakegeorgechamber.com or (518) 668-5755.
General Business Information
Name of Business/ Organization
*
Name of Business Owner
*
First Name
Last Name
Business Owner's Official Title
*
Primary Contact for Chamber (If Different Than Above)
First Name
Last Name
Primary Contact's Official Title
Physical Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Mailing Address (If Different Than Above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number to be Publicized
Please enter a valid phone number.
Primary Contact Home or Cell Phone Number for Chamber Communications
Please enter a valid phone number.
General Email Address to be Publicized
*
example@example.com
Email Address(es) to Receive Chamber Information
*
example@example.com
Your Website URL
*
If you hire full time or part time employees, what ages are you able to hire?
14+
16+
Other
How did you hear about us? (Select one)
*
Please Select
Referred by a current Chamber member
Referred by a Chamber staff member
Attended a Chamber event (e.g., Mixer, Lunch & Learn, Women in Business)
Chamber website (lakegeorgechamber.com)
Social media (Facebook, Instagram, LinkedIn, etc.)
Google search / Online search
Local news or publication
Tourism guide or brochure
Visitor Center / Information kiosk
Partner organization (e.g., ARCC, Bolton Chamber, Warren County Tourism)
Previous member
Other (please specify)
If referred by a current Member, please provide their name below:
Media Partner Questionnaire
Media Partner
When news outlets contact our office, we have the opportunity to share your information as a contact for interview purposes.
Would you be interested in being listed as a media partner for interview purposes?
*
Please Select
Yes
No
Do you use a 3rd Party PR or media company to handle inquiries?
Please Select
Yes
No
Name of PR/media company
Address of PR/media company:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Media Contact Name:
Media Contact Phone:
Please enter a valid phone number.
Media Contact Email:
example@example.com
Social Media Details
Google Business Profile URL
Search your business on Google and click "share" - copy and paste the share link
Facebook Handle or URL (e.g. facebook.com/visitlakegeorge or @visitlakegeorge)
Instagram Handle or URL (e.g. @lakegeorgechamber)
TikTok Handle or URL (e.g. @lakegeorgechamber)
LinkedIn URL
YouTube URL
More About Your Business...
Please provide a business description for your website listing.
*
0/200
Hours of Operation
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Seasonal (May-Oct)
Off Season (Nov-April)
Months of Operation
*
Type of Business
*
Please Select
Attraction
Bank
Building Trades/Contractor/Landscaping
Campground
Craft Beverage Producer
Event
Food & Beverage/Restaurant
Full Service Resort
Golf Course
Golf Course with Restaurant
Lodging and Accommodations
On-Premise Restaurant
Mall
Marina
Media
Merchant/Shopping
Non-Profit
On-Premises Restaurant
Professional Services/Distributors
Transportation
Utilities
Venue only
Other
Please choose what type of business is closest to yours.
Type of Non-Profit
Please Select
501c6
501c3
Non-profit with ticketed attraction
Are you an Individual/Listing Agent?
Please Select
Yes
No
Number of Units/Rooms
Please Select
1 Unit
2-10
11-15
16-20
21-25
26-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
101-125
126-150
151-199
200+
Number of Campsites
Please Select
1-49
50-99
100-150
151-200
201-300
300+
Event Revenue
Please Select
Up to $50,000
$50,001-$150,000
$150,000+
Service Type
Please Select
Limited Service (No bar)
Full Service (0-50 seats)
Full Service (over 50 seats)
Catering Only
Number of On-Site Rentals
Is this an individual mall listing?
Please Select
Yes
No
Square footage of largest space
Please Select
0-1,000 sq ft
1,001-2,000 sq ft
2,001-5,000 sq ft
5,000+ sq ft
Revenue $
Please Select
Under $500,000
$500,000+
Number of Employees*
Please Select
0-10
11-50
51-100
100+
*Count Two Seasonal As One Full-Time Year-Round Employees
Images and Assets
Please upload your business logo.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional photo for marketing purposes
Browse Files
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Choose a file
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of
Additional photo for marketing purposes
Browse Files
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Choose a file
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of
Owner/ Manager Signature
*
Save
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