Lafayette Chamber Membership Application

Please complete this form if you have been specifically asked to by the Lafayette Chamber or to pay your membership by check. Send or bring the check to the Lafayette Chamber, 251 Lafayette Circle, Ste 150, Lafayette, CA 94549

By completing this form, you will be invoiced by our Office Administrator which will also include a $25 application fee. Annual dues are based on number of full time employees. Membership will be continuous until cancelled by the member or terminated by the Chamber. Membership renewal is billed annually in the month the membership began. To terminate your membership, a 30 day notice is required.

Membership Type(Required)

Business Membership Annual Dues

Number of Employees ... Annual Dues

1-2 ... $220

3-5 ... $315

6-10 ... $430

11-25 ... $555

26-50 ... $685

51-100 ... $970

100+ ... $1120

Address(Required)
Is this a home address that should not be included in the online directory?(Required)
This email will be linked on online inquiries.
We can add up to 4 social media links to your online profile. Please list full addresses here.
Please enter up to 4 business categories. To see a full list visit https://cca.lafayettechamber.org/businesssearch.aspx.
This will be displayed online on your directory profile. Include keywords and pertinent information as this field is Search Engine Optimized.
Primary Contact(Required)
Chamber News & Information via Email(Required)
Would you like to include anyone else in your organization to your online profile and Constant Contact email lists? If so, please include names and email addresses here.
Billing Contact
If different from Primary Contact
Address
If the primary or billing contact's address is different from the business/organization's address listed above, please enter primary/billing address here.
Please enter any additional information that we should know about!