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Becoming a member of the Humphreys County Area Chamber of Commerce is a positive step forward. Our Goal is to provide our Businesses and Organizations with the tools needed to keep moving forward and growing. We are here to help you in any way we can. Never hesitate to contact us with any concern you have. We work for YOU.
 

Member Application:

* Company Name:  
* Phone:  
* Website:
* Email:
* 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):  /   
* Title:  
* Phone:  
Cell Phone:
* Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
Twitter:
 
* Address: Same as Company Address
* City/State/ZIP:
Country:
 
 

Billing Contact Information:

Same as Primary Contact
* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
* Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
Twitter:
 
* Address: Same as Company Address
* City/State/ZIP:
Country:
 
 
Membership Package:
A: $75.00
0-10 Employees
B: $200.00
11-45 Employees
C: $325.00
46-99 Employees
D: $750.00
100+ Employees
E: $750.00
Financial Institutions
F: $50.00
Non-Profit Organizations
G: $25.00
Individual
Payment Option:
Bill me
 
 
Submit Application:
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