Membership Application

Please fill out the application below and click Submit. This application will be mailed to the Louisville Chamber of Commerce and you will be contacted within the next few days. Thank you for your time and we look forward to having you as a part of our Chamber Family!

    Business Name*

    Name*

    Title

    Business Address

    City

    Zip Code

    Mailing Address

    City

    Zip Code

    Business Telephone Number *

    Fax

    Email*

    Web Address

    Business Classification (As shown in Yellow Pages) and in the Chamber Directory *

    Description of goods and/or service (10 to 15 words)*

    Chief Executive Officers (Local)

    Name*

    Title

    Name

    Title

    Contact Person*

    Contact Person Title*

    Referred By

    How many full time employees do you have?

    Payable (Please select one of the following)
    AnnuallySemi-AnnuallyQuarterly

    This investment is payable with application and is continuous unless cancelled in advance of the due date. Investments are deductible from Federal and State Income Tax Returns as a business expense.