LLRCC Membership Application

LLRCC Membership Application

Please contact LLRCC Director Ashley Mitchell with any questions: llrcc2@gmail.com or (207) 794-8065

Yearly Membership Fees

# of Employees*	Paid Online	Discounted if paid by Cash/Check
1-4	$165	$160
5-10	$245	$240
11-20	$355	$350
21-50	$465	$460
51-70	$576	$570
71-100	$626	$620
101-150	$676	$670
Over 151	$726	$720
Volunteer Org., Church, Individual	$125	$120

*two half-time employees equal one employee

Contact Name*

First NameLast Name
Contact Job Title
Contact Email*
Contact Phone*
Please enter a valid phone number.
Any additional contacts:
Business Name*
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone
Please enter a valid phone number.
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Yearly membership level:*

1-4 Employees5-10 Employees11-20 Employees21-50 Employees51-70 Employees71-100 Employees101-150 EmployeesOver 151 EmployeesVolunteer Org., Church, Individual
Payment

To pay online, go to www.lincolnmechamber.org/membership

Please make checks payable to Lincoln Lakes Region Chamber of Commerce and mail to:

LLRCC
PO Box 164
Lincoln, ME 04457
I understand that by providing the email address(es) in this application, I am authorized to and hereby consent to receive emails and mailings from the Lincoln Lakes Region Chamber of Commerce.*

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