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: Memberships are from January 1 to December 31, inclusive.

Today's Date:
Company Name: (Business Membership)
Owner/Manager
Contact Person/Title
# of Employees:
Street:
Mailing Address (if different)
City:
State:	Select State Below Alabama Arkansas California Alaska Arizona Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
Cell:
Fax:
Email Address:
Website Address:
Date Business Established:
Chamber Voting Rep.:
Brief Description of Type of Business
Please select the type of New Business Membership you will need: Club/Organizations, Schools, Churches Small Business (0-24 Employees) Large Business (25+ Employees) Real Estate Agents
A Chamber Staff Member will contact you shortly regarding what dues you will owe.
Please Click Here for a Printable Application if you wish to mail the application to the Chamber. (required to read application)