Membership Registration

Membership Sign Up

Please complete the form below to become a member.
Name of Business*
Name in which membership will be held
Name of person to represent membership*

NameTitle
Business Email Address*
example@example.com
Business Website*
www.example.com
Business Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Business Physical Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Branch or Main Office Address, if applicable

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Full Time Employees
Based on 40 hour work week
Individual- $75Service Club- $75Tier 1: 1-15 Employees- $125Tier 2: 16-25 Employees- $150Tier 3: 26-35 Employees- $200Tier 4: 36-65 Employees- $250Tier 5: 66-100 Employees- $350Tier 6: 100+ Employees- $450
Make checks payable to Lincoln Park Chamber of Commerce

Mail payments to: Lincoln Park Chamber of Commerce, PO BOX 382, Lincoln Park, MI 48146
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Membership Sign Up