Lafayette Chamber of Commerce, CA - Membership Agreement

Please complete all information on the following Membership Application and press the SUBMIT button. You will be contacted for payment information. Please complete entire form.

Name of Business
Website Business Category
Phone
Fax
Contact Name (last)
(first)
Title
Website
E-Mail
Mailing Address
City and Zip Code
Physical Address
City and Zip Code
Business Description (up to 10 words)
Number of Full Time Workers
Type of Business

2007 Fee Schedule: Annual investment is based on number of full-time employees.

1 - 2 employees	$190	Out-of-Town	TBD
3 - 5	$275	Non-Profit	$150
6 - 10	$375	Additional Listing	$95
11 - 25	$475
26 - 50	$600
51-100	$845
101+	$990	Application Fee (one time) * Does not apply to Friends or Additional Listings	$25