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Member Application

Welcome and thank you for your interest in the Lafayette Chamber. The Lafayette Chamber is an organization dedicated to providing our members with the resources to successfully compete in today’s marketplace.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Mailing Address
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Social Network Addresses
Create Account
Please add your login password.

Step 4:

Billing Contact

Contact Preference

Address
Social Network Addresses
Create Account

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Please complete the Captcha

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