LCC Local Charge Card Signup Form

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Existing customers, please complete the form below to get signed up for LCC's local charge card.

If you are currently not a LCC customer, or if you are a customer that does not have an account set up, we would love to help you get started. You can get started by filling out a credit application, which can be found online at www.lakescommunitycoop.com/become-a-customer. You can also stop by or call our main office at (866) 346-5601.

*This request form does not guarantee that a card will be issued. Your LCC account must be in good standing prior to issuance of a card.

Email *

First Name: *

Last Name: *

Account #: *

Please enter your Lakes Community Cooperative account number. This can be found on your statement.

Billing Address: *

Number of Cards Needed: *

Please specify the number of local charge cards requested.

Phone Number:

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