Application

To view this form, please enable JavaScript in your browser.

Thank you for your interest in the Lakeland Chamber of Commerce.  Dues are $135 for a business member, $50 for a non-profit, $50 for an individual.  Please contact [email protected] for more information about membership or click here to download a PDF application form.

 
Organization Information (to be displayed online)
Main Contact
Additional Contacts
Contact 1
Contact 2
Contact 3
Contact 4
Contact 5
Contact 6
Contact 7
Contact 8
Contact 9
Contact 10
Billing Address (if different)
Mailing Address (if different)
Additional Information
Membership Investment

Participation is optional and free for Chamber members. (Please note: this offer will be automatically renewed each year unless we are notified otherwise)


The contents of this box are for testing purposes. This box will be removed when the form goes live.
  • Select additional directory categories below by holding the "CTRL" key
  • Secondary categories may be subject to additional fees
 
 
 
 
   
 
 
 
 
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.

Please select a membership type before submitting your application.

Upcoming Events

Our Sponsors