Grass Lake Regional Chamber of Commerce Application for Membership

Thank you for your interest in the Grass Lake Regional Chamber of Commerce. The purpose of the Chamber is to promote the economic, commercial, industrial, educational, cultural, civic, and community interests within the region of Grass Lake, Michigan.

New Membership

Membership *

Business Membership (1 Year) - $ 100.00

Business Membership (3 Years) - $ 285.00

Non-Business Membership (1 Year) - $ 50.00

Non-Business Membership (3 Years) - $ 135.00

Total Amount

Email Address *

On Behalf Of Business/Business/Organization

Organization Name *

Name of Owner(s) or Primary Contact

Business Address

Street Address *

City *

State *

Zip Code *

Mailing Address

Street Address

City

State

Zip Code

Other Information

Business Phone

Cell Phone

Fax

Email *

Nature of Business / Organization

Number of Employees

Two part time employees equal one full time employee

Referred By

Committees

Name of individual(s) who will serve on committee

Phone (if different from above)

Business Description

Please include a description of your business (250 word limit). We will use this information in Chamber publications and include your description on our website.

Name and Address

First Name *

Last Name *

Street Address

City

State

Zip Code

Payment Options

[x] I will send payment by check.

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