Member Application Laguna Niguel Chamber of Commerce $ Member Application Business Name*Business Classification*Contact Name* First Last Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Cell PhoneEmail* Website Number of Employees*Referred BySelect Your MembershipPlease see "Become A Member" section for a list of benefits.Membership Levels*Business Level | includes one time admin fee $260Marketing Level | includes one time admin fee $385Networking Level | includes one time admin fee $435Executive Level | includes one time admin fee $650Non-Profit | includes one time admin fee $195Community Membership | $110Entrepreneur Level | $1,000Select Gold | $2,500Premium Platinum | $5,000Elite Diamond | $10,000Your total payment will be: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name NoticeChamber dues / sponsorships may be deductible as ordinary and necessary business expenses, with the following exceptions: 4% of the donation may not be deducted as an ordinary and necessary business expense to the extent that the chamber engages in state and / or federal lobbying. Because the Chamber is a 501 c(6), donations and dues are not tax deductible as charitable contributions.PhoneThis field is for validation purposes and should be left unchanged.
