Membership Application

Membership Application

Option 1: Annual Membership Fee ($75.00) plus Monthly Dues ($16.95 per month) credit card required.

Option 2: Annual Membership Fee ($75.00) plus Annual Dues Paid in Full $175.00 (15% savings) credit card required.

Option 3: Annual Membership Fee ($75.00) plus Annual Dues Paid in Full $175.00 (15% savings) no credit card required.

*First Name

*Last Name

*Business Name

*Address

*City

*State

*Zip Code

*Address for publication

Yes
No

*Business Phone

Alternate Phone

*Email Link

Website Link

Birthday (month/day)

*Chapter

*Category of Business

Other:

*Business Description

*Do you have an image (logo or headshot)?

Yes
No

If yes, please email editor@lgrouponline.com with your image. It must be a jpg or gif and sent as an attachment.

*Do you provide a member discount?

Yes
No

If yes, please provide a description of discount.

Please tell us who to thank for referring you:

The aforementioned business applies for membership to Elle Group and agrees to all fees referenced herein. Elle Group membership is non-transferable and non-refundable. All fees must accompany application in order to be considered for membership and to complete the membership process.

Click the submit button to complete the application process and pay online.