Member Application

Fill out the online membership application as you would like for your business or organization to appear on the online member directory. At checkout, select your membership type. For your convenience, you can pay online with a credit card processing fee added. Choose “Bill Me” at checkout to eliminate the credit card processing fee. Make checks payable to the Lebanon Chamber of Commerce and mail or drop check off to the Lebanon Visitor’s Center at 221 W. St. Louis Street, Lebanon IL 62254.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please add your business keywords.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Payment Option
Please complete the Captcha
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