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Name:

Title:

Business Name:

Business Address:

City:

State:

Zip Code:

Telephone:

Fax:

Your Email:


Mailing Address (if different than above):

Address:

City:

State:

Zip Code:

Membership Category Amount:
Business Members—All Categories
(based on number of employees)

0-5

=

$125.00

76-100

=

$500.00

6-9

=

$150.00

101-300

=

$600.00

10-25

=

$200.00

301-500

=

$700.00

26-50

=

$300.00

501+

=

$800.00

51-75

=

$400.00

Assoc.

=

$50.00

Greenleaf Society Membership

=

$1,000 +

Associate Members:
(Non-Profit Organizations, Service Clubs, Churches, Education, Individuals, “Friends of the Chamber”) $50 Minimum

Random Lake Area Chamber of Commerce

Membership Form

Please make your category amount selection, fill out the form and press submit.

Make Membership Checks Payable to: RLACC

Please Mail to: Random Lake Area Chamber of Commerce
PO Box 125
Random Lake, WI 53075


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Random Lake Area Chamber of Commerce | P.O Box 125, Random Lake, WI 53075 | Phone: 920-994-9054 | email: admin@randomlake.org

Welcome to the Southwestern Gateway
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