Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram Pinterest Yelp Tripadvisor

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram Pinterest Yelp Tripadvisor

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram Pinterest Yelp Tripadvisor

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Additional Fees:

New Member Processing Fee : $25.00
One-time admin fee of $25

Additional Opportunities:

We will contact you with additional information.

Chamber Check Participant : $0.00
Join our Chamber Check participants list and begin to accept Chamber Checks at your business. Banner Ad : $25.00
An ad for your business on our website - for more information please contact us 270.821.3435 Licensed Professional Listing : $50.00
A discounted individual membership for licensed professionals such as doctors, specialists, attorneys, engineers, accountants, real estate agents, nurses, nurse practitioners, teachers, hairstylists, etc. Second Location Listing : $200.00
If your business has multiple locations and you would like each location to be listed on our website and advertisements the fee is $100 for each additional location.

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address