The Algonquin / Lake in the Hills Chamber of Commerce

Business Name
# of EE (2 PT=1FT)
Yr/Mth Business Began
Name
Email
Emails will be used for communication purposes only.
Phone
Address
City
State & Zip
Website
Primary Category
Description of Business (200 characters or less)
Referred by
Standard Annual Dues:	$250 - Sole Proprietor $275 - 2-5 EE $345 - 6 - 12 EE $390 - 13 to 25 EE $440 - 26 to 50 EE $495 - 51 to 100 EE $620 - $101 to 200 EE $150 - Clubs/Organ.
$25 Admin Fee (one time charge)	$25.00
To enhance your standard benefits, choose from one of the three optional Club Level benefits:
Club Levels: In addition to Standard Dues:	$500 - Corporate (admin fee included) $1,500 - Corporate Plus (admin fee included) $3,000 - Executive (admin fee included)
TOTAL AMOUNT DUE
Upon receipt of your application, you will be contact to discuss payment options. Congratulations on your enrollment.
Payment Options:	Visa/Mastercard - Pay by phone Check - Effective upon receipt of payment
Comments: