Lakeville Minnesota Chamber of Commerce Postal Mail Application

Lakeville Minnesota Area Chamber of Commerce

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City of Lakeville
Lakeville School District 194

Submit your application by U.S. Mail:

Print out a hard copy of the application below.
Complete the application, including payment information.
If paying by check, make check payable to:
Lakeville Minnesota Chamber of Commerce
U.S. mail the application, with payment, to:
Lakeville Minnesota Chamber of Commerce
19950 Dodd Boulevard
Suite 101
Lakeville, MN 55044

Firm Name:
Contact Person:
Title:
Other Representatives:



Category of Business:
Street Address:
Suite/Room/Apt.: (if any)
City: State: ZIP:
Phone: Fax:
E-mail: Website:
Year Business Founded: Number of Employees:
Membership Category:
Business Description:
Annual Membership Investment:
One-Time Processing Fee:
Total Investment + Processing Fee:
FORM OF PAYMENT Check Credit Card
If paying by Credit Card, provide the information below:
Type of Credit Card:	Visa MasterCard
Credit Card Number:
Expiration Date:
Name on Credit Card :
Signature:
ZIP Code credit card statements are sent to:
By submitting this information, I certify that I understand the appropriate amount will be charged to my credit card based on my selection/s and the information I provide. Lakeville Area Chamber of Commerce and Convention & Visitors Bureau 19950 Dodd Boulevard Suite 101 Lakeville, MN 55044 Phone: (952) 469-2020 or (888) 525-3845 Fax: (952) 469-2028 E-mail: info@lakevillechambercvb.org Copyright 1998-2008 Lakeville Area Chamber of Commerce. All rights reserved.