Lathrop Chamber of Commerce

PO Box 313 - Lathrop, CA 95330

Please fill out the New Business Membership Application to apply for Membership with the

Lathrop Chamber of Commerce. You can obtain a printable copy of this

application at the bottom of this page if needed.

Please Note: Membership is annual from beginning date of membership.

Today's Date:

Company Name:

(Business Membership)

Owner/Manager

Contact Person/Title

# of Employees:

Street:

Mailing Address

(if different)

City:

State:

Zip:

Phone:

Cell:

Fax:

Email Address:

Website Address:

Date Business Established:

Chamber Voting Rep.:

Brief Description of

Type of Business

(example: 10/26/2008)

(example: 209-222-2222)

(example: 209-234-2222)

(example: 209-222-2233)

(example: 10/26/2008)

Please select the type of New Business

Membership you will need:

Submit this form and pay your dues online.

( Required to read )

2010