Join The Chamber - Lexington Area Chamber of Commerce

Membership Application

"*" indicates required fields

Primary Contact Information

Today's Date*

Primary Contact's Name*

First Last

Primary Contact's Email*

Enter Email Confirm Email

Primary Contact's Number*

Preferred Method of Communication*

Primary Contact's Position Title*

Billing Contact*

Same as Primary Contact

Billing Contact's Information

Billing Contact's Name*

First Last

Billing Contact's Phone Number*

Billing Contact's Email*

Enter Email Confirm Email

Contact Preference*

Billing Contact's Position Title*

Billing Contact's Address*

Same as Primary Contact Address

Billing Address*

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

Business Information

Name of Buisness*

What Industry, If any, Is your Business/Organization In?*

Organization/Business Email*

Enter Email Confirm Email

Business Number*

Business Fax

Number of Employees*

Number of Partners

Business Website

Business Facebook

Other Social Media

Please provide a list of any other social media platforms your business is active on.

Billing Address*

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

Shipping Address*

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

*After you have filled out and submitted the membership application, one of our team members will contact you. Please give us a call at 336-248-5929, if you don’t hear back from us within a week. Thank you!

Membership Application

Primary Contact Information

Billing Contact's Information

Business Information

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