Lavon Area Chamber of Commerce
Membership Application

(Required)

Business Name:

Phone #:     Fax #:

Business Address:
City:   State:   ZIP:

Mailing Address:
City:   State:   ZIP:

Bus Email:   Website:

Applicant Name:       Title:

Designated Voting Member:

Applicant Email:      App Phone #:

Voting Member Phone #:      Cell #:

Other representatives from your business that may participate in Chamber activities:

Information about your business/organization that may be publicized:

Number (as applicable) of:    Employees    Rooms    Seating    Units

Social network links you would like identified with your business;

Facebook Link:    

Twitter Link:         

YouTube Link:      

Membership Type:           Individual     Business    Government

Method of Payment:         Check        Money Order        Pay Online

     Please check if you do not wish to share your information with other members or the website.

Lavon Area Chamber of Commerce
Phone number at 972-853-7092
Mailing address PO Box 356, Lavon TX 75166
www.lavonareachamber.org