Member Application Ruston-Lincoln Chamber of Commerce Membership Application Step 1: Member Info Step 2: Additional Info Step 3: Primary Contact Step 4: Billing Contact Step 5: Membership Options Step 1: Member Info Company Name * Please add your company name. Leave Blank Phone * Please add your company phone number. Website Email * Please add a valid email. Physical Address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Mailing Address Same as physical address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Step 2: Additional Info Business Description (200 char max) * Please add your company description. Business Keywords (enter a space between words) Directory Category * Choose... Accountants & Tax Services Addiction Treatment Advertising & Publishing Advertising - Specialty Items Agricultural Supplies & Feed Aircraft, Sales & Service Ambulance Services Animal Rescue Antiques Appliance Sales & Repair Architects Art and Framing Supply Store Art Gallery Assisted Home Living Assisted Living Facilities Attorneys ATV & Motorcycle Sales & Service Audio Sound Systems Audiovisual Systems Automobile Collision Repair Automobile Maintenance & Repair Shops Automobile Parts Distributors Automobile Rental Automobile Sales Bakeries Banking & Mortgage Loans Barber & Beauty Shops Blood Banks & Plasma Collection Boat Dealers Building Materials & Supplies Business Services - Special Business Training & Consulting Cable TV & Satellite Services Car Wash Carpet Cleaning Children's Clothing Chiropractors Churches Civic Clubs & Social Services Coffee Services Computer Products & Services Concession Stand Construction Equipment Rental Consumer Financial Services Contractors & Construction Companies Convenience Stores Cosmetics Counseling & Consulting Country Clubs Creameries Credit Unions Custodial & Maintenance Services Dentists, Oral Surgeons & Orthodontic Design Studio Discount & Outlet Stores Dry Cleaners Educational Institutions Employment Agencies Engineering & Consulting Services Entertainment and Theatres Environmental Consultants & Services Event and Meeting Venue Event Planning Eyeglasses & Eyewear Fabric Shops Farm & Garden Equipment Farm to Table Restaurant Financial Advisor Firearms Firearms Fitness Centers Flooring Contractor/Retailer Florists Funeral Homes & Cemeteries Furniture Sales Garden Centers & Landscaping Gift Shops Glass & Mirror Sales & Repair Glass Coating & Tinting Government Grocery Stores Gymnastics/Cheer/Tumbling Health Food & Nutrition Health/Fitness/Spa Healthcare Consulting/Management Home Health/Hospice Hospice Hospitals & Clinics Hotels & Lodging HVAC & Electrical Contractors Hydraulic Equipment Repair Individual Members Industrial and Municipal Equipment Industrial Lubricants - Sales & Consulting Industrial Supplies Infusion Services Insurance Interior Design/Decorating Internet Service Providers Investment Counselors & Brokers Irrigation Systems Sales & Design Jewelers Land Surveying Landscaping & Plants Laundry Services & Laundromats Locksmiths Lodging - Extendend Stay Cottages Long term Acute Care Services Machine Shops Maintenance & Cleaning Services Manufacturers Marketing & Graphic Design Massage Therapists Medical Equipment and Supplies Mosquito Abatement Moving Company Museums & Attractions Music Natural Gas & Oil producer Natural Gas Supplier Natural Resources & Timber Mgmt Newspapers Non Member Non-Profit & Government Agencies Nursing Homes Office Equipment, Furniture & Supplies Office Leasing Oil & Gas Services Oil & Gas Transport Optical Optometrists Package Liquor Paper & Cleaning Supplies Party Room Rental & Inflatables Peach & Fruit Orchards Peach Festival Periodical/Magazine Pest Control & Exterminators Pet Boarding Kennels Pet Stores Pharmacies Photography/Video Production Physical Therapy & Wellness Physicians Pipeline Materials Plumbers Pod Casts Productions Podiatrists Pools & Spa Sales & Service Printers Produce Market Propane & Gas Appliances Psychological Services Radio/Television Stations Real Estate Development Realtors & Appraisers Refractory Constructors Rental Properties and Management Restaurants, Caterers, Bakeries Restorations Retail Apparel Retail-Christian Books & Gifts Retail-Specialty Shop Retirement Center Screen Printing Security Systems Self Storage Sewing & Embroidery Machines and Repair Shipping & Packaging Supplies Signs & Banners Sporting Goods - Retail Sports Facilities Tank Fabricators & Erectors Taxidermy Telecommunications Thrift Stores Time & Temperature Tire Dealer Towing Services Transportation & Trucking Travel Agencies Uniform Sales & Services Utility Veterinarian Video Rental & Sales Vineyards & Winery Vitamins & Food Supplements Water Companies - Bottled Western Union Agent Wholesale Distributor Wireless Communication Sales Yellow Pages Advertising Please select a directory category. Full-time Employees Part-time Employees Assigned chamber rep Step 3: Primary Contact First Name * Please add your first name. Last Name * Please add your last name. Phone * Please add your phone number. Fax Email * Please add a valid email. Contact Preference Email Phone Address Same as Address in Step 1 Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Social Network Addresses LinkedIn Facebook Twitter YouTube Instagram Create Account This Login is already in use Login * Please add your login username. Password * Please add your login password. Step 4: Billing Contact Same as Primary Contact First Name * Please add your first name. Last Name * Please add your last name. Phone * Please add your phone number. Fax Email * Please add a valid email. Contact Preference Email Phone Address Same as Primary Contact Address Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Social Network Addresses LinkedIn Facebook Twitter YouTube Instagram Create Account This Login is already in use Login * Please add your login username. Password * Please add your login password. Step 5: Membership Package Please select a Membership Package Classic Level $300 ($1650 value) $ 300 Benefits include: Weekly e-news; website listing basic; Chamber Connections Newsletter; Ruston-Lincoln Directory; Business Advocacy; Ground breaking/Ribbon Cutting Ceremony; Business Referral Service; Website access for Calendar, Online Registrations, Jobs, & Hot Deals; Business After Hours; US Chamber Membership; 1 web listing category; Networking Events; Welcome weeks for Universities Executive level $450 ($2625 value) $ 450 Benefits include: Weekly e-news; website listing basic; Chamber Connections Newsletter; Ruston-Lincoln Directory; Business Advocacy; Ground breaking/Ribbon Cutting Ceremony; Business Referral Service; Website access for Calendar, Online Registrations, Jobs, & Hot Deals; Business After Hours; US Chamber Membership; 2 web listing category; Networking Events; Welcome weeks for Universities; Converence Room Use (6 ppl when available); Board Room Use at Discounted Rate; Electronic Membership Mailing List; Member Brochure Rack* Premium level $800 ($3325 value) $ 800 Benefits include: Weekly e-news; website listing basic; Chamber Connections Newsletter; Ruston-Lincoln Directory; Business Advocacy; Ground breaking/Ribbon Cutting Ceremony; Business Referral Service; Website access for Calendar, Online Registrations, Jobs, & Hot Deals; Business After Hours; US Chamber Membership; 3 web listing category; Networking Events; Welcome weeks for Universities; Converence Room Use (6 ppl when available); Board Room Use at Discounted Rate; Electronic Membership Mailing List; Member Brochure Rack*; Ambassador Committee Eligibility; Company Brochure Relocation Packet; 1 month Business Card Ad in Chamber Newsletter; Leadership Lincoln Sponsorship; Online Enhanced Web Listing; Constant Contact Discount Presidential level $2000 ($6590 value) $ 2,000 Benefits include: Weekly e-news; website listing basic; Chamber Connections Newsletter; Ruston-Lincoln Directory; Business Advocacy; Ground breaking/Ribbon Cutting Ceremony; Business Referral Service; Website access for Calendar, Online Registrations, Jobs, & Hot Deals; Business After Hours; US Chamber Membership; 3 web listing category; Networking Events; Welcome weeks for Universities; Converence Room Use (6 ppl when available); Board Room Use at Discounted Rate; Electronic Membership Mailing List; Member Brochure Rack*; Ambassador Committee Eligibility; Company Brochure Relocation Packet; 12 month Business Card Ad in Chamber Newsletter; Leadership Lincoln Sponsorship; Online Enhanced Web Listing; Constant Contact Discount**; Membership Spotlight Newsletter; Bulk Mail Savings Program; Lincoln United Sponsor; "Pillars of Virtual Community" Sponsor Chairman level $5000 ($9590 value) $ 5,000 Benefits include: Weekly e-news; website listing basic; Chamber Connections Newsletter; Ruston-Lincoln Directory; Business Advocacy; Ground breaking/Ribbon Cutting Ceremony; Business Referral Service; Website access for Calendar, Online Registrations, Jobs, & Hot Deals; Business After Hours; US Chamber Membership; 3 web listing category; Networking Events; Welcome weeks for Universities; Converence Room Use (6 ppl when available); Board Room Use at Discounted Rate; Electronic Membership Mailing List; Member Brochure Rack*; Ambassador Committee Eligibility; Company Brochure Relocation Packet; 12 month Business Card Ad in Chamber Newsletter; Leadership Lincoln Sponsorship; Online Enhanced Web Listing; Constant Contact Discount**; Membership Spotlight Newsletter; Bulk Mail Savings Program; Lincoln United Sponsor; "Pillars of Virtual Community" Sponsor; Online Category Web Listing; Annual Banquet Mention; Website Video Promotion; Ambassador Sponsor; Business Workshop Sponsor Elite level $10,000 ($14,090 value) $ 10,000 Benefits include: Weekly e-news; website listing basic; Chamber Connections Newsletter; Ruston-Lincoln Directory; Business Advocacy; Ground breaking/Ribbon Cutting Ceremony; Business Referral Service; Website access for Calendar, Online Registrations, Jobs, & Hot Deals; Business After Hours; US Chamber Membership; 3 web listing category; Networking Events; Welcome weeks for Universities; Converence Room Use (6 ppl when available); Board Room Use at Discounted Rate; Electronic Membership Mailing List; Member Brochure Rack*; Ambassador Committee Eligibility; Company Brochure Relocation Packet; 12 month Business Card Ad in Chamber Newsletter; Leadership Lincoln Sponsorship; Online Enhanced Web Listing; Constant Contact Discount**; Membership Spotlight Newsletter; Bulk Mail Savings Program; Lincoln United Sponsor; "Pillars of Virtual Community" Sponsor; Online Category Web Listing; Annual Banquet Mention; Website Video Promotion; Ambassador Sponsor; Business Workshop Sponsor; Corporate Peach Sponsor; Automatic Seat on the Board of Directors; Banner ad on website; Online Enhanced Listing Complete Comments/Questions Payment Option Charge my credit or debit card Please complete the Captcha Back Next Submit Application Print Application