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Board of Directors
Crockett County-West Tennessee's Best Kept Secret
Join the Chamber Today!
New Member Application
You may either
download our application
or fill out this online form.
*
Indicates required field
Business / Individual Name
*
Name of Primary Representative
*
Phone Number
*
Fax Number
*
Physical Address
*
Line 1
Line 2
City
State
Zip Code
Country
Billing Address (if different than physical)
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Website
*
Number of Full-Time Employees
*
Number of Part-Time Employees
*
Date Established
*
Business Classification
*
Is Your Business Minority Owned?
*
No
Yes
Is Your Business Female Owned?
*
No
Yes
Membership Investment
Part time employees are counted as .5 full-time employees.
Select Your Industry and Your Number of Employees To See Your Annual Investment
*
Senior Citizen (Age 60) - $30.00
Organizations - $60.00
Individuals - $60.00
Professionals - $175.00
Industry (1 - 25 Employees) - $225.00
Industry (26 - 50 Employees) - $425.00
Industry (51 - 100 Employees) - $525.00
Industry (101 - 150 Employees) - $725.00
Industry (151 - 250 Employees) - $925.00
Industry (251 - 400 Employees) - $1,270.00
Industry (401+ Employees) - $2,050.00
Retail (1 - 5 Employees) - $115.00
Retail (6 - 10 Employees) - $145.00
Retail (11 - 20 Employees) - $175.00
Retail (21 - 30 Employees) - $200.00
Retail (31 - 40 Employees) - $250.00
Retail (41 - 50 Employees) - $275.00
Non-Manufacturing (51 - 105 Employees) - $525.00
Banks - $700.00
Non-Profit/Church - $60.00
Associate - $100
Submit