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 Step 2: Additional Info Step 3: Primary Contact Step 4: Billing Contact Step 5: Membership Options Step 1: Member Info Company Name * Please add your company name. Leave Blank Phone * Please add your company phone number. Website Email * Please add a valid email. Physical Address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Mailing Address Same as physical address Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Social Network Addresses LinkedIn Facebook Instagram Twitter Step 2: Additional Info Business Description (300 char max) * (300 characters maximum or 1600 characters if you purchase the Enhanced Listing) Please add your company description. Business Keywords (enter a space between words) Directory Category * Choose... ACCESSORIES Accountants-CPA's Acupuncture Advanced NeuroMuscular Therapy Advertising Advertising-Magazines Advertising-Newspapers Advertising-Printed/Online Advertising-Specialties Aerospace Air Conditioning/Heating Alignments Alterations Alternative Health Alzheimer's Care Anti-aging skincare Antiques Apartments Appliances Architectural Structure Architecture Art Classes Art Gallery Asphalt Assisted Living Attorneys Audiology Auto Dealers - New & Used Auto Glass Auto Parts Auto Tint and Clear Bra Automotive Services Bakery Banks/Financial Institutions Banquets Bar Barber Shop Bartending Services Basic Needs Bath and Body Bathroom Renovations Batting Cages BBQ Beauty Bar Beauty Salon Beer Distribution Beer Garden Beer/Wine Bars Bicycle Bicycle Repair Bicycle/Ski Rentals Biohazard Clean up Blue Prints Bookkeeping Bottled Water Bowling/Video Games Box Lunches Brew Pub Brewery Brunch Builders-Commercial Builders-Residential Building Materials Burgers Buses/Transportation Business Coaching Business Consulting Business Financing Business Park/Office Park Business Services Café Cajun Fusion Cakes Camping Equipment Cancer Support Cancer Treatment Candles Car Detailing Car Wash Carpet Sales Carpet/Upholstery Cleaning Catering CBD Store Cell Phone & Tablet Repair Chamber of Commerce Child Care/Children's Centers Children's Activities Chinese Restaurant Chiropractors Chocolaterie Churches Cidery City Government Civil Engineering Clinics-Medical Clothing Coaching Cocktail Lounges Coffee Roaster / Coffee Services Coffee Shop Collections Commercial Banking Commercial Insurance Commercial Interior Design Commercial Leasing Commercial Loans Commercial Painting Commercial Printing Commercial Properties Community Planning Computer Support/Services Computer Training Computers-Networking Concrete Concrete-Ready Mix Construction Construction-Commercial Construction-Residential Consulting Contractor-General Copy Center Corporate Team & Booster Apparel Cosmetic Dermatology Cosmetics Counseling Counseling-Trauma/Domestic Violence/Addiction Coworking Craft Beer Crafts Credit Card Processing Credit Unions Crematory Cultural Dairy Dance Instruction Day Porter Service Daycare Deli Delivery Service Dental Implants Dentist Dentist - Cosmetic Dentist - Orthodontist Dermatology Desserts Development Developmental Disabilities Digital Marketing Agency Dine In/Take Out Discount Department Stores Dispensary Distillery Dog Daycare/Boarding Dog Walker Donuts Dry Cleaning Eatery Educational Educational Instruction Educational/School Elder Law Electrical Companies Electrical Contractors Embroidery Emergency Assistance Programs Emergency Care Employee Benefits Employment Services Endodontics Energy Drinks Entertainment Equine Life Coaching Estate Planning Esthetician Ethiopian Restaurant Event Planning Event/Reception Centers Events Eye Exams/Eye Disease Treatment Family & Pediatric Medicine Family Health & Wellness Farm Farm Supplies Farmers Market Fashion Fast Food Feed Dealers Fencing / Supplies Fiber Arts Fiduciary Finance Financial Loans Financial Planning/Consulting Financial Services Fine Artist Fire Damage Restoration Fitness Flea Market Flooring Sales Florist Food Food Truck Forensic Engineer Frozen Yogurt Store Funeral Home Furniture Garage Door Installation Garage Door Repair Garbage Collection Garden Center Garden Maintenance Gas Companies Gift Card/Chamber Bucks Gifts Gifts Galore Gifts-Business & Executive Glass Replacement/Repair Government Graphic Design/Art Greek Food Grocery Stores Gutter Cleaning Gym Hair Care/Salon Handyman Hardware Healing Alternatives Health & Human Services Health/Nutrition Health/Wellness Products Health/Wellness Programs Healthcare Healthcare - Family Practice Healthy Vending Hearing Aids Heating/Air Conditioning Hispanic Arts Home Decor Home Décor Home Healthcare Home Improvement Home Inspection Home Interiors HomeCare Homeopathy Horseboarding Hospitals Hotel Human Services HVAC Ice Cream ID Printer Services Income Tax Preparation Individual Insurance Insurance - Broker Interior Design Internet Services & Products Investments Invitations Janitorial Jewelers/Jewelry Jewelers/Jewelry/Watch Repair Jewelry Designs Jungian Therapy Landfill Landscape Architect Landscape Construction Landscape Design Landscape Maintenance Landscaping Laundry Law Firm Lawn Care/Maintenance Lawn Irrigation Leasing Agents-Commercial Legal Life Coaching Light Commercial Liquor Store Live Music Loans Lodging Lotions Lumber Manufacturer's Representatives Manufacturers Marijuana Center Marketing Martial Arts Massage Therapy Mechanic Work Media Medical Meeting Room Meeting/Conference Center Mental Health Services Metal Art Mexican Restaurant Mindfulness Instruction Mobile Development Mortgages Mortuary Moving & Storage Company Moving Company Museums Music Musical Instruction Natural Medicine Naturopathic Medicine Network Administration Newspapers Non Profit Non Profit Service Organization Notary Nutrition Office Space Leasing Office Supplies Optical Optometrists Optometry/Ophthalmology Oral Surgery Orthodontist Paint Contracting Paint Supplies Pastries Pavement Repair Payroll Services Pediatric Dentist Permanent Makeup Personal Training Pet Grooming Pet Services Pet Sitting Pharmacies Photography Physical Therapy Physicians Pilates Pizza Play Therapy Plumbing/Heating Power Washing Printers/Printing Printing Supplies Promotional Products Property Management Protein Coffee Prototype Developer Psychotherapy Publications Publishing Radon Testing Real Estate Real Estate - Commercial Real Estate - Residential Real Estate Law Real Estate-Acquisition Real Estate-Investment Real Estate-Residential/Commercial Recreation Refrigeration Rehabilitation Remediation - Abatement Remodels/Repair Rental Equipment Residential Development Residential Remodeling Restaurants Retail Retirement Community Retirement Planning Roofing Contractor Sand & Gravel Satellite Schools-Non Profit Schools-Preschool Schools-Private Schools-Public Non Profit Schools-Supplemental Programs Screen Printing Security Self Defense Senior Assisted Living Senior Care Sewer Scope Sewing Shower Doors Ski/Snowboard Skilled Nursing Facility Skin Cancer Treatment Skin Care Small Business Saturday Smoothies Snow Removal Soap Soccer Social Services Solar Spa Special Events/Festivals Specialty Services Spin Class Sport Camps Sporting Goods Sports Sports Complex Sports Medicine Sprinklers Structural Engineer Stump Grinding Supplement Tap Room Tasting Room Tax Preparation Tea Telecommunication Theater Therapy-Violence/Trauma/Addiction/DUI Thrift Store Tile Tile & Grout Cleaning Tires-Dealers Tires/Wheels Title Companies Towing Training & Development Trash Removal Trauma Counselor Travel Agent Tree Service Tree Trimming Tutoring-Math Tutoring-Reading Utility Companies Vending Services Veteran Services Veterinarians Veterinary Clinic Veterinary Hospital Video Production Voiceover Talent Waitstaff Services Water Damage Restoration Water Filtration Systems Web Design Web Site Development Wedding Services Wedding Venue Wills and Estates Window Cleaning Window Covering Window Replacement Window Well Covers Window Well Replacement and Egress Additions Wood Floor Refinishing Woodworking Yoga Please select a directory category. Full-time Employees * Please add your number of full-time employees. Part-time Employees * Please add your number of part-time employees. Step 3: Primary Contact First Name * Please add your first name. Last Name * Please add your last name. Phone * Please add your phone number. Cell Phone Fax Email * Please add a valid email. Contact Preference Email Phone Address Same as Address in Step 1 Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Social Network Addresses LinkedIn Facebook Instagram Twitter Create Account This Login is already in use Login * Please add your login username. Password * Please add your login password. Step 4: Billing Contact Same as Primary Contact First Name Last Name Phone Cell Phone Fax Email Contact Preference Email Phone Address Same as Primary Contact Address Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Social Network Addresses LinkedIn Facebook Instagram Twitter Create Account This Login is already in use Login Password Step 5: Membership Package Please select a Membership Package 0-2 Employees $ 290 3-5 Employees $ 310 6-10 Employees $ 340 11-20 Employees $ 380 21-30 Employees $ 430 31-40 Employees $ 490 41-50 Employees $ 560 51-75 Employees $ 610 76-100 Employees $ 675 Over 100 Please contact us to determine the fee. Call for quote Non Business/Retired $ 150 Refers to non-business owner or retired person Associate $ 175 Associate member is employed or associated with a company who has a full membership in the Chamber. Example: Real Estate Agent whose broker company is a member. Non-Profit/Religious/Fraternal Service Clubs $ 190 Banks/Savings & Loans/Credit Unions Please contact us to determine the fee. Call for quote Second Membership Please contact us to determine the fee. A Second Membership of same business owner is 1/2 the price of full membership. Call for quote. Additional Options: Enhanced Listing $60 one time Additional website exposure! Get your business noticed! Chamber Name Badge $10 one time Have a permanent name badge waiting for you at each event. Sponsorship Take advantage of event sponsorships and advertising opportunities. Newsletter Inserts/Banner Ads Marketing opportunities available Chamber Bucks Get more business to your door by accepting chamber bucks! Comments/Questions Payment Option Charge my credit or debit card Please complete the Captcha Back Next Submit Application Print Application