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Membership Application

Your Invitation to Membership... An Investment in our Community!

Use our online form below or download our Printable PDF Form

Pay Online

Company or Individual (as will appear on online directory)
Year of Establishment
Business Category Listing (as it will appear on online directory)
New Member
Yes No
Primary Officer / Owner
Mr. Mrs. Ms. Dr.
Name
Title
Main Contact
Mr. Mrs. Ms. Dr.
Name
Title
Business Physical Address
City
State
Zip
Mailing Address (if different)
City
State
Zip
Telephone
Fax
E-mail Address
Website
 Preference for Communication:   E-mail Fax Letter
 Number of Employees:   Full Time   Part Time   Total
 Date:
 Payment Method:   Check    Number   Credit Card

There is an administrative fee of $25.00 when the membership is originally established.

A second business with the same owner = base + number of employees.

Pay your membership investment with a credit card! If you choose this option; be sure to forward your membership application.

Monthly installment options can be paid by retail and restaurants with our online credit card payment option!

 Total Payment:  
 I will participate in the Member-to-Member discount program:   Yes  No
 I will provide brochures, flyers, business cards for my business to display at the Chamber:
  Yes  No
Note: Chamber investment is deductible from Federal and State Income Taxes as a business expense. Your investment is payable in advance and is continuous unless cancelled in writing in advance of due date.
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