Member - Livonia Chamber of Commerce, MI

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Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max):

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Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

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City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

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State: *

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Country: *

Social Networking:

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Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

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:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Essential Business Membership : $299.00
Essential Business Membership + Business Promotion Package: $499.00
Established Business Membership: $379.00
Established Business Membership + Business Promotion Package: $579.00
Trustee Business Membership: $799.00
Landmark Business Membership: $1,099.00

Payment Option:

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