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Lewisville-Clemmons
Chamber of Commerce
4140 Clemmons Rd #294
Clemmons, NC 27012

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Lewisville-Clemmons Chamber of Commerce Membership Application
 

Full Name
Nickname
DOB
Sex
Company/Organization
Position/Title
Business Address
City
State/Province
Zip/Postal Code
Work Phone
Fax
E-mail
Home Address
City
State/Province
Zip/Postal Code
Home Phone
Home Fax
Home E-mail
Spouse's/ Partner's Name
Company or Business Description
Reason for applying to Chamber
Who referred you to the chamber?

     

Annual Dues are $100 for regular members and $500 for sponsor members.  You will be contacted for dues payment after acceptance of your online application.

If you'd prefer not to submit your information online, please click here for our print, complete, and mail membership application.
 

 
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