LACCE Membership Application

* denotes required information
Chamber Name*
Chamber Executive*
Title
Address*
Address 2
City, ST Zip*	,
Telephone*
Fax
Email*
Web Page
Year Chamber Established
Hours/Days of Operation
Comments

Dues are based on the population of the area serviced by a Chamber of Commerce

Dues checks should be made payable to: LACCE
Please mail a check for your dues to:

LACCE - Attn: LaJean Lala
P. O. Box 80258
Baton Rouge, LA 70898-0258

Population of Service Area	Dues
Under 10,000	$ 50.00
10 - 20,000	$ 75.00
20 - 50,000	$ 100.00
50 - 75,000	$ 150.00
75 - 200,000	$ 200.00
Over 200,000	$ 300.00
Non-Chamber Organizations	$ 100.00
Any additional executive staff members	each - $ 25.00

Dues checks should be made payable to: LACCE
Please mail a check for your dues to:

LACCE - Attn: LaJean Lala
P. O. Box 80258
Baton Rouge, LA 70898-0258