Membership Application Applying for: Business Membership ($75)* Organization/Business Name: (required) Address: (required) Email Address: (required) Phone Number: (required) Primary Representative(s)/Owners(s): (required) Additional Representative(s): Preferred Contact Person(s): (required) Preferred method(s) of contact? (required) EmailPhoneMail How long has your organization/business been in Lakewood? Briefly describe the general nature of your business: (required) I agree to uphold the WE Alliance Membership Pledge. I acknowledge that my Membership Application is incomplete until I remit payment. Checks should be made payable to LakewoodAlive with "WE Lakewood" in the memo. Mail checks to LakewoodAlive, 14701 Detroit Avenue, #LL10, Lakewood, OH 44107 *Rates applicable for the year of 2020. Memberships purchased during the year 2020 will be valid through December 2020.