Member - Hernando Main Street Chamber of Commerce, MS

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Member Application

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Step 2:

Additional Info

Business Description (200 char max) *
Please add your company description.

Business Keywords * (enter a space between words)
Please add your business keywords.

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Step 5:

Membership Package

Please select a Membership Package

Government & Nonprofit $ 140
This is a category-specific membership for all government and nonprofit organizations.

Real Estate Brokers $ 225
This is a category specific membership for all real estate brokers.

Affiliated Real Estate Agents $ 170
This is a category-specific membership for all real agents.estate

Builders & Developers $ 280
This is a category-specific membership for all builders and developers.

Banks & Utilities $ 790
This is a category-specific membership for all banks and utilities.

Sports Organization $ 280
This is a category-specific membership for all sports organizations.

Casinos & Resorts $ 1,500
This is a category-specific membership for all casinos and resorts.

Individual Membership $ 55
This is a category-specific membership for all individuals wanting to join without being affiliated with a business.

Employee-Based Membership 1-3 Employees $ 170
Every two part time employees equal one full time employee.

Employee-Based Membership 4-6 Employees $ 225
Every two part time employees equal one full time employee.

Employee-Based Membership 7-10 Employees $ 300
Every two part time employees equal one full time employee.

Employee-Based Membership 11-25 $ 350
Every two part time employees equal one full time employee.

Employee-Based Membership 26-50 Employees $ 500
Every two part time employees equal one full time employee.

Employee-Based Membership 51-100 Employees $ 750
Every two part time employees equal one full time employee.

Employee-Based Membership >100 Employees $ 1,000
Two part time employees equals 1 employee.

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