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Lumpkin County
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Chamber Membership Form
Success is what the Chamber is all about. Submit this completed form to start your business on the path of success in Lumpkin County! By completing and submitting this form, you are authorizing a request for membership.


* indicates a required field
Tell Us About Your Business

Name of Business *
Type of Business *
Street Address *
City * State * Zip *
Mailing Address
City  State Zip
Number of Full-Time Employees *
Number of Part-Time Employees *
Number of Locations *
Primary Contact: First Name *
Last Name *
E-mail Address
Web Site
Phone Number *
Fax Number
Calculate Your Investment

One-time Administration Fee *
Retail or Service Businesses
Manufacturers
Professional Services
Lodging + $2.00 per room/unit
Nonprofit Organization
Individual Member
Senior Member
Special (Banks/Education/Golf/Heathcare/Utilities)
Associate or Second Business Membership
Expanded Internet Link
Your Total Fee Please be sure to add the $35.00 administration fee. * $
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