LLRCC Membership Application
Thanks for your interest in joining the Lincoln Lake Region Chamber of Commerce (LLRCC)! If you have any questions, please contact us at llrcc2@gmail.com or 207-794-8065.
Contact Name
*
First Name
Last Name
Contact Job Title
Contact Email
*
Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Any additional contacts:
Business Name
*
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Website
Facebook
Interest in
hosting a Business After Hours
having a ribbon cutting ceremony
Interested in joining a volunteer committee
Events
Membership Development
Community Engagement
Fundraising
Grants
Other
Upload your business logo
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I understand that by providing the email and mailing addresses in this application, I am authorized to and hereby consent to receive emails and mailings from the Lincoln Lakes Region Chamber of Commerce.
*
Agree
Payment
*
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( X )
Sole-Proprietorship, Individual, Volunteer Org., Church
$125
$
125
1-4 Employees
$165
$
165
5-10 Employees
$245
$
245
11-20 Employees
$355
$
355
21-50 Employees
$465
$
465
51-70 Employees
$576
$
576
71-100 Employees
$626
$
626
101-150 Employees
$676
$
676
Over 151 Employees
$726
$
726
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: