Membership Application

Membership Application

If you have any questions while completing this form, please contact membership@lakegeorgechamber.com or (518) 668-5755.
Date of Application

MonthDayYear
Date

General Business Information
Name of Business/ Organization*
Business Category*
Name of Business Owner*

First NameLast Name
Business Owner's Official Title*
Primary Contact for Chamber (If Different Than Above)

First NameLast Name
Primary Contact's Official Title
Physical Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Mailing Address (If Different Than Above)

Street Address

Street Address Line 2

CityState / 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

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?*

YesNo
If you checked yes, who would you like to be the main point of contact for media inquiries?

Social Media Details
Facebook Handle or URL (e.g. facebook.com/visitlakegeorge or @visitlakegeorge)
Instagram Handle (e.g. @lakegeorgechamber)
TikTok Handle (e.g. @lakegeorgechamber)
LinkedIn URL
Google Business Profile URL
Search your business on Google and click "share" - copy and paste the share link
YouTube URL

Hours of Operations

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Seasonal
Off Seasonal

Media Partner