Company Name
Physical Address:
Address Line 1
Address Line 2
City
State
Zip
Mailing Address:
Address Line 1
Address Line 2
City
State
Zip
Business Phone
Alternate Phone
Business Fax
Company E-mail
Website
** Banner ads and featured member listings are available by calling 731.423.2200 or e-mailing tboyd@jacksontn.com . **
In what form of communication do you prefer information about upcoming events to be sent (Please select one)
E-mail
Fax
Mail
Business Category (One free listing with your membership; additional listings may be purchased for $100 each)
Year Company Was Established
Are you a women or minority owned business?
Yes No
Number of Employees (2 part-time = 1 full-time)
Contact Information
Name
Title
Phone
Fax
E-mail
Additional Contact
Name
Title
Phone
E-mail
Associate Member
$100 (Non-management, non business owner, residential info only)
Start-Up Business
$150 (First two years of operation with 5 or less employees)
1-5 employees
$250
6-10 employees
$310
11-15 employees
$360
16-20 employees
$410
21-30 employees
$460
31-40 employees
$510
41-50 employees
$560
51+ employees
$610 plus $3 for each additional employee over 50
Professionals
$250 for firm and one professional plus $75 for each additional professional
Non-Profit (by budget)
$150 (under $1 million)
$250 (over $1 million)
Schools and Universities
$250 for 1st 1,000 students & .25 per student over 1,000
Full Service Restaurants
$250 for 60 seats or below plus $1 for every seat over 60
Banks and Savings and Loan Based on Deposits
Amount due based on structure (from above) + $25 Initial Processing Fee =
I would like to be billed (please select one)
Yearly
Semi-Annually
Quarterly
Chamber membership remains in effect until cancelled in writing. Dues are non-refundable. 97% of the Chamber dues may be tax deductible as an ordinary and necessary business expense. Dues paid to the Chamber are NOT a charitable expense for federal income tax purposes. The Chamber is an advocate organization for business. Chamber dues are subject to change by action of the Board of Directors.