New Member Referral Form

Please use this form to refer a colleague or fellow business for membership at the Lee's Summit Chamber of Commerce.

Fields marked with an * are required.

Who Are You Referring For Membership with the LS Chamber? *

Please include the individual's name, business/organization name and contact info so that we may reach out to them with more information.

What is Your Name and What Business/Organization Do You Represent? *

Please write your full name and business/organization info.