Membership Application Please complete this form entirely. Step 1 of 3 33% ** Scroll Down to Apply Today ** Lakewood ChamberLakewood, Washington Memberships are recurring - Billed Annually You are making a payment that will be renewed on this date next year. If you wish to make other arrangements, such as paying for multiple years at a reduced rate, please contact the chamber during business hours. >This transaction will appear on your statement as PayPal * LKWDCHAMBER. >If you’re ready to join now, simply fill out the application below and hit send. You will hear from our Membership Services Representative shortly. If you have questions about membership, please contact us at 253-582-9400 or chamber@lakewood-wa.com MEMBERSHIP FEES AS OF JANUARY 2026 Basic: $500 Patron: $1500 Presidents Club: $2500 Momentum: $5000 *10% Discount for Military Service (restrictions do apply) Please tell us about who you areIt is important that we know who is filling out this form for the following business.Company Name(Required)Name(Required) Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Title(Required)Physical Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone(Required)SMS Disclaimer: By providing my phone number to “LAKEWOOD CHAMBER OF COMMERCE,” I agree and acknowledge that Lakewood Chamber of Commerce may send text messages to my wireless phone number consistent with membership notifications, scheduling and information. Message frequency will vary, and message and data rates may apply. If you need further assistance, please reply “HELP”. You can also opt out by replying “STOP" Privacy Policy Statement: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.Company Phone(Required)Best Time to Call(Required)After 8 AMAfter 10 AMAfter 2 PMAfter 4 PMPlease email insteadWe do not call on Weekends or Holidays.Fax PhoneEmail(Required) Enter Email Confirm Email Preferred method of contact(Required) Email Phone Select AllCompany Website(Required) Facebook Business Page URLNumber of Employees(Required)Full or Part-Time(Required) Full-Time Part-Time Company Industry(Required)Describe your business(Required)UBI#State Tax ID#Military Service:(Required) Yes No To receive a military discount: You will be required to show proof of enlistment or retirement documentation. The business must be 75% owned by a US Military Person or Veteran to qualify for this discount. Contacts to Add to the Chambers Email ListPlease add the following contact(s) to the Lakewood Chamber Address Book to receive Broadcast emails.Main Contact First Last Main Contact Email Additional Contact First Last Additional Contact Email Payment for Membership(Required) By Check Online via PayPal Please Call Other Referred by(Required) Linda Smith Scott Jonson Sue Boguszewski Other CAPTCHA