Membership Application

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Contact Name*

First Last

Membership Type*

Business Name*

Start of Business

Phone*

Fax (optional)

Email*

Website

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is mailing address same as above?*

Yes

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code

The Chamber invoices for membership dues are on an annual basis, payable in January. The annual cost of a business membership is $75.00 and an individual membership is $25.00. If the business or individual joins after June 30th, the membership fees are reduced to $37.50 for businesses and $12.50 for individuals. Each business membership comes with one vote as does each individual membership. It is our intention to keep our membership rates low and affordable to encourage local area businesses and individuals to participate.

Once your submitted membership application is approved, you will be sent a PayPal invoice from lavacachamber@gmail.com. Your prompt remittance is appreciated.

If paying by check, please make payment out to Lavaca Area Chamber of Commerce and mail to:

Lavaca Area Chamber of Commerce
PO BOX 797
Lavaca, AR 72941

How would you like to pay your membership dues?*

Cash

Check

PayPal (incl transaction fee)

What events would you like to see more of in our community?

What are you needing from the Chamber to help benefit yourself as an individual or business?

By checking the box, signing below and paying my membership fee, I am applying for membership in the Lavaca Area Chamber of Commerce and grant them permission to post information about my business on their social media pages.