Name: County Supervisors Board Meeting
Start: 2019-07-01T10:00:00-05:00
End: 2019-07-01T11:00:00-05:00

Please fill out the form below to become a member of the Tate County EDF & Senatobia Main Street Chamber.

Business Name*
Business Category*
Select the primary category for your business below
Business Category - Secondary*
Select the secondary category for your business
Business Category - Secondary*
Select the secondary category for your business
Primary Contact for Business
Name*
First Last
Email*
Enter Email Confirm Email
Phone
Other Key Personnel
List the names of your key personnel
Names and job titles of key personnel
Business Address & Contact Info
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Physical Address
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Email*
Enter Email Confirm Email
Website
Social Media
Do you have social media accounts for your business?*
- Yes
- No
Facebook Page
Twitter
LinkedIn
Instagram
Other
List social media service and URL
Membership Information
Number of employees
Year Founded
Who referred you to the EDF/Senatobia Main Street for membership?
I would like to schedule a ribbon cutting
- Yes
- No
Type of Membership*
Please contact our office if you have any questions. Your investment is payable in advance. Employee numbers based upon full-time equivalents. Membership is continuous unless canceled in writing. Annual investment in your chamber is 100% tax-deductible as a business expense.
Total
$0.00
NOTE
Tickets are purchased via PAYPAL. You may use a credit card or Paypal Account to make your purchase. You will be directed to Paypal when you hit "Submit Application" button.

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Primary Contact for Business