Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company 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.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as 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.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

County

ReferredBy

Membership Category *

Looks good!

Interested in Chamber Endorsed SIHO Health Plan

How did you learn about the Chamber *

Looks good!

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

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

Postal Code

Facebook

Create Account

Password *

Please add your login password.

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

Phone

Address

Address line 1

Address line 2

Country

City

State

Postal Code

Social Network Addresses

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Elite membership $ 6,900

Elite Membership is exclusive to industry. Save by paying via ACH, check or cash. Contact info@jacksoncochamber.com to receive an ACH/Cash invoice.

4370Partner Membership $ 1,060

Save by paying via ACH, check or cash. Contact info@jacksoncochamber.com to receive an ACH/Cash invoice.

Leader Membership $ 2,620

Save by paying via ACH, check or cash. Contact info@jacksoncochamber.com to receive an ACH/Cash invoice.

Builder Membership $ 1,310

Save by paying via ACH, check or cash. Contact info@jacksoncochamber.com to receive an ACH/Cash invoice.

Signature Membership (50+ employees) $ 765

Save by paying via ACH, check or cash. Contact info@jacksoncochamber.com to receive an ACH/Cash invoice.

Signature Membership (<50 employees) $ 370

Signature Membership (<50 employees) is available to any businesses with fewer than 50 employees. Save by paying via ACH, check or cash. Contact info@jacksoncochamber.com to receive an ACH/Cash invoice.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

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Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Payment Option

Ready to Join?