Larkspur Chamber Of Commerce





P.O. Box 998 Larkspur, California 94977 Phone : (415) 686-2062 Email: info@larkspurchamber.org

Membership Application

Directions for Larkspur Chamber Application

Please fill in the application found below. Items marked with a red star are necessary for updating our database.
Indicate on the application if this is a new member or renewal application. Also check your method of payment.

To pay by check:
Make check payable to: The Larkspur Chamber. Then after completing the application, print it and send it with payment to:
The Larkspur Chamber of Commerce, PO Box 998, Larkspur, California 94977
You may also fax the application to 510 – 868 – 8550

To pay using PayPal:
Click on “Add to Cart” at the bottom of the application and then “Proceed to Checkout”
You will be taken to the PayPal website where you will login and make your payment.

Membership Fees:
New Members and Renewals by Check $100.00
New Members and Renewals by PayPal $80.00

Remember to complete the Application, Print It, and Mail It to the Larkspur Chamber, PO Box 998, Larkspur, CA 94977

*Required Fields

Billing Information
Renewal
New Member
*Firm Name:
*Your Name:
*Street Address:
*Title:
*City:
*Zip Code:

Mailing Information
Same as Billing Address
Mailing Address:
City:
Zip Code:

Contact Information
*Phone 1:			Type:
Phone 2:			Type:
Fax:

Business Information
	Number of Employees in Your Business:
	Length of time established in the Larkspur Area (Larkspur, Greenbrae, Kentfield, Ross):
	Description of Business (as you would like it to appear in the Membership Directory):

Extra Information
*Email:
*Web Site:			No web site, No problem. Click the webmaster link.
Your Logo:
Additional Notes:

I agree to conform to the Bylaws, Rules and Regulations adopted from time to time by the Chamber, or adopted or approved by its Board of Directors.

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