First Name: Last Name:
Address: Alt. Address:
City: State: Zip:
Phone: Cell Phone: Fax:
Email: Website:
Where/What positions did ou hold before opening your business?
When did you start your business?
Who helped you start your business?
Do you have a partner? Yes No
What was the easiest and hardest part of starting your business?
What is the mission of your business? Who do you bank with? How did you finance you business? Bank Loan Personal Loan SBA Loan Grant Personal Savings
Submit a short summary of what you would like us to include in our newsletter and other publications.
Signature: Date: Thank you for taking your time to fill out the online membership application newsletter form. In order for this application to be processed ALL FIELDS MUST BE FILLED. If you need assistance, please contact someone at our office 746-1989 or Click here to email the Laitno Chamber of Commerce.
