Member Application
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Email:
Directory Category:
--- Select Primary Category ---
Accounting & Tax Services
Advertising & Media
Airport
Apartments
Appraisers
Arts, Culture & Entertainment
Assisted Living
Attorneys
Auction/Estate Sale Services
Automotive Sales & Services
Banking & Financial Services
Beauty and Spa
Bed & Breakfast Inns
Body Shop Equipment & Supplies
Brew Pub
Carpet / Flooring
Casinos
Caterers
Child Care
Chiropractors
Churches and Ministries
Cleaning & Restoration Services
Clinics
Community Organizations
Computer Services/Internet
Construction & General Contractors
Dentists
Developer
Development/Investment
Drug Stores/Pharmacy
Educational Services
Electrical Supplies & Service
Engineers
Environmental
Event Rentals
Farm Supply
Fitness/Recreation/Weight Loss
Florists
Food/Beverage Distributors
Funeral Homes/Cemeteries
Furniture
Golf
Government
Graphic Design
Grocery Stores
Hardware/Lumber
Hearing Aids - Parts & Repair
Heating/Cooling
Heavy Truck Service
Home & Garden
Home Health
Hospice Care
Hospitals
Hospitals
Hotels/Motels
Individual
Insurance
Internal Medicine
Jewelers
Lawn Services & Equipment
Life Insurance
Liquor Stores
Locksmith Service
Managed Healthcare
Manufacturing & Processing
Medical Supplies
Meeting Rooms & Event Venues
Mental Health Services
Mobile Homes
Movie Theater
Moving & Storage Services
Museums
Newspapers
Nursing Homes
Office Supplies & Equipment
Oil, Gas & Supplies
Orthodontists
Orthopedic & Sports Medicine
Outdoor Recreation
Painting Supplies & Service
Parts
Pest Control Services
Photography
Physical Therapy
Plumbing Services
Podiatrists
Pools
Professional Services
Radio
Real Estate
Recycling
Rehab Clinic
Religious Organizations
Rental
Rental Services
Restaurants, Food & Beverage
Retail
Retirement Center
River Services
Roofing Supplies & Service
Schools/Colleges
Security
Service & Repair
Shipping Services
Shopping
Specialty Stores
Speech Therapy
Sporting Goods
Staffing Services
Surveying & Mapping
Telecommunications
Telephone Directories
Television, Cable, Internet and Phone Services
Tires
Training & Consulting Services
Transportation
Travel Agency
Tree Removal / Trimming / Outdoor Lighting
Trophies & Plaques
Utilities
Venue / Catering
Veterinary Services
Vision
Waste Disposal
Welding/Machine Shop Services
Wild Game Processing
Employees:
Full-time
Part-time
Comments / Questions:
Physical Address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Mailing Address
Same as physical address
Line 1:
Line 2:
City:
State:
Postal Code:
Country:
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Primary Contact Information
First Name:
*
Last Name:
*
Phone:
*
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Address
Same as Member Address
Line 1:
Line 2
City:
State:
Postal Code:
Country:
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Billing Contact Information
Same as Primary Contact
First Name:
Last Name:
Phone:
Email:
Contact Preference:
Email
Phone
Login:
Password:
Address
Same as Member Address
Line 1:
Line 2
City:
State:
Postal Code:
Country:
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
Chairman
:
$4,000.00
CEO
:
$2,500.00
President
:
$1,500.00
Executive
:
$750.00
Manager
:
$450.00
Advocate
:
$275.00
Individual Chamber Membership
:
$65.00
Federal Employee Chamber Membership
:
$45.00
Payment Option:
Bill me
Please scroll down to view the entire policy and then click Accept.
Decline
I have read and accept the
privacy policy
of Vicksburg - Warren County Chamber of Commerce. I grant Vicksburg - Warren County Chamber of Commerce permission to contact me regarding my account, news, updates, and offers.
Please read and accept the privacy policy before continuing.
Print Application