New Customer Registration Form

Travel Lane County Free Associate Membership Application
As the local visitor economy continues to grow, your active involvement as a member of Travel Lane County holds greater significance than ever before. Travel Lane County now offers a no-cost, limited-benefit membership to hospitality and sports-related businesses in Lane County.

Filling out this form gives us all the information we need to create a free online business listing on our website. It will also opt you into the full list of benefits that our free Associate members enjoy. Learn more about the benefits you'll receive with your membership at EugeneCascadesCoast.org/Membership.

Questions about this form? Contact us: Membership@EugeneCascadesCoast.org
Business Information

We will use the following information to build your online listing on our website.
Business name*
Business address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Business website*
Business listing description*
Business hours*
Business Phone Number*
Business E-mail
example@example.com
Select any and all that apply to your business:

LGBTQIA+ ownedVeteran ownedWoman ownedBIPOC owned
File Upload*

Upload 1-3 images we can use in your business listing on our website. Horizontal images are preferred. No logos please.
Cancelof
Primary Contact Information

We will use this information to keep in touch with you about your membership. This information will not be displayed publicly on our website.
Primary Contact Information*

First NameLast Name
Primary Contact Email*
This email will be used for Travel Lane County membership-related communications only and will not be publishing publicly.
Primary Contact Phone Number*
Only used for Travel Lane County business and will not be published publicly.
Mailing address (only required if different than business address)

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Membership Agreement

Please review and agree to the Travel Lane County Membership Agreement, and let us know if you're interested in hearing from us about paid opportunities.
In addition to your free basic membership, are you interested in hearing about paid advertising and marketing opportunities?*

YesNo
Should be Empty:

Travel Lane County Free Associate Membership Application

Membership Agreement