Thank you for using our online application form. Please feel free to contact the Chamber office if you have any questions or difficulties joining online. 847-438-5572. or info@lzacc.com
 

Member Application:

* Company Name:  
* Phone:  
Website:
Email:
* Business Description (200 char max)
* Business Keywords:
 
* Physical Address:  
* City/State/Zip:  
Country:
 
Mailing Address: Same as physical address
City/State/Zip:
Country:
 
Business Category:
* Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
Title:  
* Phone:  
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
Twitter:
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 

Billing Contact Information:
Same as Primary Contact
* Name (First / Last):  /   
Title:  
* Phone:  
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
Twitter:
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 
Membership Package:
1-5 Full Time Employees: $225.00
(+ $25 New Member Processing Fee)
6-20 Full Time Employees: $285.00
(+ $25 New Member Processing Fee)
21-50 Full Time Employees: $351.00
(+ $25 New Member Processing Fee)
51-100 Full Time Employees: $415.00
(+ $25 New Member Processing Fee)
101+ Full Time Employees: $500.00
(+ $25 New Member Processing Fee)
Not-for-Profit Organization: $150.00
(+ $25 New Member Processing Fee)
Government Agencies: $320.00
(+ $25 New Member Processing Fee)
Hospitals: $320.00
(+$25 New Member Processing Fee)
Utilites: $500.00
(+ $25 New Member Processing Fee)
Additional Locations Listing: $100.00
$100 per location to be listed
Additional Opportunities:
We will contact you with additional information.
Additional Category Listing
List your business in additional categories for $25 per category.
Optional Donation to Scholarship Program
Help fund the Chamber Scholarships and Young Entrepreneurs Academy with a $25 donation
Payment Option:
Bill me
Charge my credit card
 
 
Submit Application:
Enter the CAPTCHA words, then press the Submit Application button.
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