Membership Application

I/We hereby apply for membership in the Greater Gulfport Chamber of Commerce to help develop the economic health and well being of the community. I/We agree to abide by the constitution and by-laws of the Chamber and understand that membership is continuous until written resignation is submitted. Annual investment/membership dues are payable in advance and are tax deductible as a business expense.

The information listed below will be used for listings in official directories and on the Chamber website.

Required Field*

Company Name:*
Representative:*
Street Address:
City:	State: Zip:
Mailing Address (if different than above):
Work Phone:*
Cell Phone:
Fax:
E-mail:*
Website:
Yellow Pages Category Listing:
Number of Employees:
Annual Dues:
Membership Dues Schedule 1-5 Employees………………… $100.00 6-10 employees………………... $150.00 11-50 employees………………. $175.00 Over 50 employees……………... $250.00 Civic/Not-for-profit organization $ 50.00 Non-Voting Associate Member……$ 25.00 Membership is contingent upon receipt of a valid Business License and Board approval.