Jackson Chamber of Commerce

QuickMenu Save Document

Membership Application

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

Use our online form below or download our Printable PDF Form

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 = ½ 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.