Lee County Business Network
Membership Application

Your Name (required)

Business Name (required)

What type of business is this? Please be very specific, such as what service or product you sell, who are your customers, what is your service area? (required)

What is your ideal customer or referral? (required)

How long have you been in business? (required)

Your Phone (required)

Your Email (required)

Upon submission, you will be redirected to PayPal to process your 1-year membership payment of $150.00. You can pay using a PayPal account or pay without creating an account. Submission is subject to approval by the members of the Lee County Business Network. Submission of this form and payment does not guarantee acceptance into Lee County Business Network.
I understand my application is under review.