Member Application Form

We're glad you've decided to join us.

Complete the form below and submit it online,

or print it out and mail it to

Lake Whitney Chamber of Commerce
PO Box 604
Whitney, TX 76692

or fax it to 855-870-7409.

In support of the Lake Whitney Chamber of Commerce, the named individual or firm agrees to pay annual membership dues as listed below.

Date *
Individual or Firm *
Owner(s) *
Email *
Street Addr, City,State,Zip *
Mailing Addr, City,State,Zip
Phone *
Fax
	Annual Dues
Employees, 1-5	$125
Employees, 6-10	$165
Employees, 11-15	$180
Employees, 16-20	$200
Employees, 21-25	$225
Employees, over 25	$250
Sustaining Business Membership **	$50
Organization Membership	$50
Individual Membership	$35
Golden (over 65) Membership	$25
Dues to be paid * Annually Semi-annually Quarterly
Amount due per year *
Divide annual dues by 2 to get semi-annual amount. Divide annual dues by 4 to get quarterly amount.
My main interest in joining the Chamber of Commerce is
I would be most interested in working with the following activities
Questions, Comments, Suggestions

* Required
** Sustaining Business Memberships are available to businesses located more than 10 miles from Lake Whitney.

Lake Whitney