Welcome to the Chamber of Flowood! Thank you for filling out our Membership Application form. To register and pay online, continue to the form below. To pay by check, choose Bill Me or print application below and mail with check.

Member Application:

* Company Name:

* Phone:

Website:

Business Description (200 char max)

* Physical Address:

* City/State/Zip:

Country:

Mailing Address:

Same as physical address

City/State/Zip:

Country:

Business Category:

Employees:

Full-time: Part-time:

Comments/Questions:

Primary Contact Information:

* Name (First / Last):

/

* Phone:

* Email:

Contact Preference:

Email Phone

Address:

Same as Company Address

City/State/Zip:

Country:

Billing Contact Information:

Same as Primary Contact

Name (First / Last):

/

Phone:

Email:

Contact Preference:

Email Phone

Address:

Same as Company Address

City/State/Zip:

Country:

Membership Package:

	Political: $100.00 elected officials and qualified candidates
	Non-Profit: $100.00 non-profit classified businesses
	Individual: $100.00 listed as name not business
	Small Business Membership: $150.00 Small Member 5 full-time or equivalent employees
	Medium Business Membership: $200.00 Medium Member -6-25 full-time or equivalent employeess
	Large Business Membership: $250.00 Large Member 25-40 full-time or equivalent employees
	Corporate Sponsor: $500.00 Corporate Member (see chamber website for a detailed list of package benefits)
	Bronze Sponsor: $1,000.00 Bronze Member-(see chamber website for detailed list of package benefits)
	Silver Sponsor: $1,500.00 Silver Membership (see chamber website for detailed list of package benefits)
	Gold Sponsor : $3,000.00 Gold Membership (see chamber website for detailed list of package benefits)
	Platinum Sponsor: $5,000.00 Platinum Membership (see chamber website for detailed list of package benefits)
	Diamond Sponsor: $10,000.00 Diamond Membership (see chamber website for detailed list of package benefits)

Additional Opportunities:

We will contact you with additional information.

Payment Option:

Bill me
Charge my credit card

Submit Application:

Enter the CAPTCHA words, then press the Submit Application button.

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