Page 5 - Clarksville-Directory

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

Jackson Area Chamber of Commerce * 500 Commerce Street * Jackson, AL 36545 * Ph. (251) 246-3251 * Fax (251) 246-3213

COMPANY OR INDIVIDUAL NAME (AS IT WILL APPEAR ON ONLINE DIRECTORY) YEAR OF ESTABLISHMENT

BUSINESS CATEGORY LISTING (AS IT WILL APPEAR ON ONLINE DIRECTORY)

PRIMARY OFFICER / OWNER NAME TITLE
□Mr. □Mrs. □Ms. □Dr.

MAIN CONTACT NAME TITLE
□Mr. □Mrs. □Ms. □Dr.
BUSINESS PHYSICAL ADDRESS CITY STATE ZIP

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL) CITY STATE ZIP

TELEPHONE FAX

EMAIL ADDRESS WEBSITE
PREFERENCE FOR COMMUNICATION NUMBER OF EMPLOYEES

□E-mail □Fax □Letter FULL TIME ________ PART TIME________ TOTAL ________
SIGNATURE DATE

INVESTMENT INFORMATION PAYMENT TOTAL Online Application

General (Retail, Wholesale and Service): Education (Pre-K, K-12, Post-Secondary, Boards of Investment Category ____________
Monthly installment options are available for this category Education)………………………………..$125
Base………….$125 Number of Employees ____________
1-100…………Base + $5 each additional employee Government Agencies…………………$85
100 +………...Base + $3 each additional employee
Non-Profit with Staff……….$125 Non-Profit…….$75 New Member □ yes □ no
Industrial (Manufacturing and Construction): If yes, Administrative Fee: $25_________
Base………….$125 Media………………..$125 Individual………….…$60
1-75…………..Base + $5 each additional employee TOTAL PAYMENT $____________
76-200………..Base + $3 each additional employee
201-999………Base + $1 each additional employee □ Check Number: ____________________ ____________________________________
(Payable to Jackson Area Chamber of Commerce)
Utilities Number of member decals needed:______
Base…………$125 □ Credit Card: pay online at www.jacksonalabama.org
1-50………….Base + $5 each additional employee
51-75………...Base + $3 each additional employee There is an administrative fee of $25.00 when the I will participate in the Member-to-Member
membership is originally established. discount program □ yes □ no
Medical
Hospitals and Physicians Clinic…………..$275 I will provide brochures, flyers, business
A second business with the same owner = ½ cards for my business to display at the
Medical Doctors, Dentist, Optometrists, Veterinarians, Physical Chamber: □ yes □ no
Therapists, Message Therapists………….$175 base + number of employees.
Financial (Banks and Credit Unions)…….$250 Pay your membership investment with a credit card! Note: Chamber investment is deductible from
Visit www.jacksonalabama.org If you choose this Federal and State Income Taxes as a
Professional (Accountants, Attorneys, Insurance Agencies, option; be sure to forward your membership application. business expense. Your investment is
Loan Companies and Realtors)…………$175 Monthly installment options can be paid by payable in advance and is continuous unless
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© 2017 Jackson Area Chamber of Commerce
Lodging & Housing (Hotels, Motels, Apartments, Nursing retail and restaurants with our online credit card cancelled in writing in advance of due date.
Homes and Assisted Living)……………..$150 payment option! .