Member Application

The Greater Lawrence Chamber is a not-for-profit organization providing services in support of our membership, the Greater Lawrence Township and surrounding communities. All of these services help create personal growth for individuals and organizations by improving the quality of life in our community.

Click here for details about our membership investment level options.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Year business established? *

Looks good!

Average Annual Revenue *

Looks good!

Average Annual Salary Range *

Looks good!

Number of Employees *

Looks good!

Black and Indigenous People of Color (BIPOC)/Racial Ethnic Minority owned

LGBTQIA+ Owned Business

Women-Owned Business

Veteran-Owned Business

Business Owned by an Individual with a Disability

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Basic $ 350

Basic Non-Profit $ 280

Intermediate $ 750

Intermediate Non-Profit $ 600

Advanced $ 1,250

Advanced Non-Profit $ 1,000

Pro $ 2,500

Pro Non-Profit $ 2,000

Premium $ 5,000

Premium Non-Profit $ 4,000

Platinum $ 7,500

Platinum Non-Profit $ 6,000

Payment Option

Charge my credit or debit card

Please complete the Captcha

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