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Member Application

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email

Physical Address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Step 2:

Additional Info

Business Description (300 char max)

Business Keywords (enter a space between words)

Directory Category

Full-time Employees

Part-time Employees

Members to Members Advantage

Referred by

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Fax

Email

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

City

State

Postal Code

Country

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login

Password

Step 5:

Membership Package

Please select a Membership Package

0 - 24 employees $ 160.00 $ 160.00

25 employees and up $ 250.00 $ 250.00

Churches & Non-Profit Organizations $ 100.00

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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About Us

The Chamber is made up of more than 300 businesses, clubs and organizations and we provide a wide range of services and events for our members and residential community.

Links

City of Lowell
Lowell Area Schools
LowellArts
Lowell Area Historical Museum
Flat River Outreach Ministries
YMCA
Fallasburg Historical Society

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