2022 Membership Application

Chamber Membership Application

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Business Contact Information

Chamber Membership Type

Choose a Chamber Membership that fits your business.

Payment Frequency

One Time Annual Payment
Monthly Payments
Bill Me Annually
Credit Card Information

Authorization

I hereby authorize the Crystal Lake Chamber of Commerce to initiate debit/credit entries to my account indicated above in the amounts equal to each membership dues invoice, and I authorize the depository financial institution named above to process said entries. There will be a $20.00 fee charged for any returned payments for any reason, including non-sufficient funds.

This authorization for Monthly Investment Program is to remain in full force and effect until Crystal Lake Chamber of Commerce has received written notification from me of cancellation 30 days prior to the date of payment. By filling in your name in the Authorized Signature box below you certify the accuracy of the information provided in this application and approve the application to be submitted to the Crystal Lake Chamber of Commerce for processing.

Referral

Did a Chamber staff member help you in joining the Chamber?

Did an existing member refer you to the Chamber?