Page 5 - 2017JacksonAreaCommunityGuide (2)

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 STATE TITLE
â–¡Mr. â–¡Mrs. â–¡Ms. â–¡Dr. NAME STATE TITLE
CITY
MAIN CONTACT ZIP
â–¡Mr. â–¡Mrs. â–¡Ms. â–¡Dr. ZIP

BUSINESS PHYSICAL ADDRESS

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL) CITY

TELEPHONE FAX
EMAIL ADDRESS WEBSITE

PREFERENCE FOR COMMUNICATION NUMBER OF EMPLOYEES
â–¡E-mail â–¡Fax â–¡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 Government Agencies…………………$85 Number of Employees ____________
1-100…………Base + $5 each additional employee Non-Profit with Staff……….$125 Non-Profit…….$75
100 +………...Base + $3 each additional employee Media………………..$125 Individual………….…$60 New Member □ yes □ no

Industrial (Manufacturing and Construction): â–¡ Check Number: ____________________ If yes, Administrative Fee: $25_________
Base………….$125 (Payable to Jackson Area Chamber of Commerce)
1-75…………..Base + $5 each additional employee □ Credit Card: pay online at www.jacksonalabama.org TOTAL PAYMENT $____________
76-200………..Base + $3 each additional employee
201-999………Base + $1 each additional employee There is an administrative fee of $25.00 when the ____________________________________
membership is originally established.
Utilities Number of member decals needed:______
Base…………$125 A second business with the same owner = ½
1-50………….Base + $5 each additional employee base + number of employees. I will participate in the Member-to-Member
51-75………...Base + $3 each additional employee discount program □ yes □ no

Medical I will provide brochures, flyers, business
Hospitals and Physicians Clinic…………..$275 cards for my business to display at the
Chamber: â–¡ yes â–¡ no
Medical Doctors, Dentist, Optometrists, Veterinarians, Physical
Therapists, Message Therapists………….$175

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
business expense. Your investment is
Professional (Accountants, Attorneys, Insurance Agencies, option; be sure to forward your membership application. payable in advance and is continuous unless

Loan Companies and Realtors)…………$175 3cancelled in writing in advance of due date.

ackson Area Chamber of Commerce© 2017 JLodging & Housing (Hotels, Motels, Apartments, Nursing .

Homes and Assisted Living)……………..$150
Monthly installment options can be paid by
retail and restaurants with our online credit card
payment option!