Member - About – LAX Coastal

Thank you for your interest in the LAX Coastal Chamber of Commerce.

By filling out the form below, you are applying for an annual membership within the LAX Coastal Chamber, which represents over 600+ businesses and professionals within the LAX Coastal region.

Business Information

Company Name: *

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Phone: *

Website:

Email:

Directory Category:

Employees:

Full-time Part-time

How Did You Hear About Us?:

Physical Address

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City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

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City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

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Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Affiliate: $375.00

Includes: LAX Coastal Member plaque, listing on our website, access to committee meetings, invitations to member-only events, and a listing in our yearly directory.

Connector: $525.00

Includes: All benefits of an Affiliate membership, bold listing in the LAX Coastal Magazine & Business Guide, $75 available credit. Saves you $25!

Partner: $795.00

Includes: All benefits of an Affiliate membership, box listing in the LAX Coastal Magazine & Business Guide, table at ChamberFest LAeXpo, 1 week of e-newsletter advertising, $150 available credit. Saves you $90!

Supporter: $1,050.00

Includes: All benefits of an Affiliate membership, $100 credit to the LAX Coastal Magazine & Business Guide, reserved table at ChamberFest LAeXpo, 3 weeks of E-Newsletter advertising, set of mailing labels (500+), ticket to VIP Power Hour, $150 available credit. Saves you $150!

Corporate Partner: $1,200.00

Packages begin at $1,200. A Corporate membership can be customized to fit your business needs through promotional opportunities and sponsorships. A member of LAX Coastal Chamber staff will reach out to you to discuss what options will work best for you and your business.

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address