Thank you for your interest in joining the East Lewis County Chamber. Please either complete and submit the online form below or visit the Chamber for a paper Application.

Registration Form

The fields below are for display in the online member directory.

"*" indicates required fields

Name*
Who should people Contact ?
Physical Address
Map check
If checked, a map will NOT display on your details page
Enter Numbers only!
Email Check
IF Checked, your email will NOT be publicly displayed.
Use Shift to select Multiple Business Categories

Below fields are for Payment Processing and are NOT displayed.

Select a Membership Plan*
Credit Card
Any comments for the Chamber? If the Chamber contact will be different from the main contact, please include their name and email here.
This field is for validation purposes and should be left unchanged.