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
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
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City
*
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State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
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California
Colorado
Connecticut
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District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
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Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Instagram
Pinterest
Step 2:
Additional Info
Business Description (200 char max)
Business Keywords
(enter a space between words)
Directory Category
*
Choose...
Accounting Services
Advertising/Promotions
Antiques/Estate Sales/Consignments & Thrift Stores
Apartments/Condominiums
Artists & Art Galleries
Arts & Crafts Supplies/Instruction
Assisted Living/Retirement Community
Attorneys
Automotive
Banks & Credit Unions
Beauty Services/Salons/Spas
Building & Interior Design Services
Catering/Food & Beverage Services
Child & Adult Care
Churches
Cleaning & Sanitation Services
Clothing, Shoes & Accessories
Community Organizations
Computer Service/Sales
Construction Management/Equipment/Services
Consultants
Contractors
Counseling
Country Clubs/Golf Courses
Dance Instruction & Choreographers
Education/Training
Elected Officials & Municipalities
Engineers & Engineering Services
Entertainment & Event Venues
Event Planning & Design Services
Farms & Agriculture
Financial & Investment Services
Fitness Facilities/Instruction & Services
Florists
Forestry
Funeral & Cremation Services
Furniture
Government Services & Non-Elected Officials
Graphic Design
Grocery Stores
Holistic Health
Hotels/Motels
Human Resource Services
Individuals
Insurance
Landscaping Supplies & Services
Legal Services
Liquor/Alcohol Stores
Mail Services/Shipping
Manufacturing & Production
Marine Charters, Sales & Service
Marketing
Medical Clinics & Hospitals
Medical Supply & Services
Mobile Home Communities
Moving Services
Nursing Care & Rehabilitation
Office Equipment/Supplies
Optical Care Services/Supplies
Oral Care Services/Supplies
Outdoor Recreation
Personal Services
Pets & Livestock
Pharmacy, Drug & Variety Stores
Photographers/Photo Finishing/Framing
Press/Publications/Radio
Printing & Typesetting Services
Public Relations
Real Estate/Property Services
Resorts & Casinos
Restaurants
Retail, Gifts & Specialty Items
Security Services
Shopping Centers
Specialty Food/Dining
Sport Ranges/Classes/Facilities
Sporting Goods
Sports Teams & Arenas
Storage
Telecommunications
Toys & Games
Transportation Services
Travel Agencies
Utilities
Veterinarians
Wholesale
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.
Ward / Location
Choose...
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
County
Other
Ribbon Cutting
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
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Instagram
Pinterest
Create Account
This Login is already in use
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
Email
Phone
Address
Same as Primary Contact Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Instagram
Pinterest
Create Account
This Login is already in use
Login
Password
Step 5:
Membership Package
Please select a Membership Package
Large Business Membership (Annual Fee Charged Once)
$
495
Over 10 Employees Full payment is required for businesses outside of a 50 mile radius of Clinton, MS 39056 upon application approval.
Small Business Membership (Annual Fee Charged Once)
$
230
1-10 Employees Full payment is required for businesses outside of a 50 mile radius of Clinton, MS 39056 upon application approval.
Business Agent Membership (Annual Fee Charged Once)
$
110
For a single business individual who wants to be separately listed from their main associated member business. A business agent will receive individual recognition, and cannot have a team working underneath him or her.
Organization Membership (Annual Fee Charged Once)
$
110
Non-Profit or Community Organization
Community Individual Membership (Annual Fee Charged Once)
$
75
Individual member - not part of a larger business or organization represented with the Chamber. This membership is for anyone who wants to support the Chamber and be connected to the community, but does not offer any business promotion opportunities.
Key Investor: Bronze
$
1,000
Become a major supporter and sponsor of our organization with a Bronze Key Investment! At the Bronze level, a Key Investor will receive all of our regular benefits of membership, as well as 4 complimentary seats at our Annual Banquet, 1 complimentary eBlast for promotion to our membership, 2 free newsletter banners in The Clinton Courier, 1 reserved seats at each of our 4 annual luncheons, 1 business booth at the annual "Back to the Bricks" event for incoming Mississippi College students, 1 free set of mailing labels for our entire membership, and 3 separate listings, in addition to a sponsor listing advert with an upgrade option, in the Chamber's printed directory. Full payment is required at time of application approval.
Key Investor: Silver
$
1,500
Become a major supporter and sponsor of our organization with a Silver Key Investment! At the Silver level, a Key Investor will receive all of our regular benefits of membership, as well as 6 complimentary seats at our Annual Banquet, 2 complimentary eBlasts for promotion to our membership, 2 free newsletter banners in The Clinton Courier, 2 reserved seats at each of our 4 annual luncheons, 1 business booth at the annual "Back to the Bricks" event for incoming Mississippi College students, 1 free set of mailing labels for our entire membership, and 3 separate listings, in addition to a sponsor listing advert with an upgrade option, in the Chamber's printed directory. Full payment is required at time of application approval.
Key Investor: Gold
$
2,000
Become a major supporter and sponsor of our organization with a Gold Key Investment! At the Gold level, a Key Investor will receive all of our regular benefits of membership, as well as 8 complimentary seats at our Annual Banquet, 3 complimentary eBlasts for promotion to our membership, 3 free newsletter banners in The Clinton Courier, 3 reserved seats at each of our 4 annual luncheons, 1 complimentary business booth at the annual "Back to the Bricks" event for incoming Mississippi College students, 1 free set of mailing labels for our entire membership, and 3 separate listings, in addition to a complimentary 1/2 page advertisement, in the Chamber's printed directory. Full payment is required at time of application approval.
Key Investor: Platinum
$
2,500
Become a major supporter and sponsor of our organization with a Platinum Key Investment! At the Platinum level, a Key Investor will receive all of our regular benefits of membership, as well as 8 complimentary seats at our Annual Banquet, 4 complimentary eBlasts for promotion to our membership, 7 free newsletter banners in The Clinton Courier, 4 reserved seats at each of our 4 annual luncheons, 1 complimentary business booth at the annual "Back to the Bricks" event for incoming Mississippi College students, 2 free sets of mailing labels for our entire membership, and 3 separate listings, in addition to a complimentary full page advertisement, in the Chamber's printed directory. Full payment is required at time of application approval.
Key Investor: Diamond
$
5,000
Become a major supporter and sponsor of our organization with a Diamond Key Investment! At the Diamond level, a Key Investor will receive all of our regular benefits of membership, as well as 12 complimentary seats at our Annual Banquet, 6 complimentary eBlasts for promotion to our membership, 11 free newsletter banners in The Clinton Courier, 6 reserved seats at each of our 4 annual luncheons, 1 complimentary business booth at the annual "Back to the Bricks" event for incoming Mississippi College students, 3 free sets of mailing labels for our entire membership, and 3 separate listings, in addition to a complimentary full page advertisement, in the Chamber's printed directory. Diamond Key Investors also receive credit as a sponsor at 1 After Hours Event and Luncheon, and recognition at a multitude of other Chamber events throughout the year. We truly appreciate our Diamond level sponsors! Full payment is required at time of application approval.
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