Membership | Lewes Chamber of Commerce

Please complete this form with your check or charge info made payable to Lewes Chamber of Commerce or include your charge card information below.

New Member or Current Member Renewal?(Required)

Business Name

Business Address(Required)

For publication in Visitor Guide & on LewesChamber.com listing

Street Address Address Line 2 City State ZIP Code

Mailing Address

Same as business address

Membership Registration(Required)

Subtotal

Business Phone Number(Required)

Other Phone Number

Website URL

Business Email(Required)

Business Description For Website Listing

Business Social Media

Chamber Contact Person(Required)

Name

Additional Contact Person

Name

Image Upload(s) for Business Directory Listing (up to 4 images)

Drop files here or

Max. file size: 2 MB.

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Method

Please mail to PO Box 1 Lewes, DE 19958 or to 120 Kings Hwy, Lewes, DE 19958

Check

Credit Card

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total

Phone

This field is for validation purposes and should be left unchanged.