Group Health Insurance Grand Openings & Ribbon Cuttings Newsletter Benefits Membership Application

Flora Area Chamber of Commerce P.O. Box 211  · Flora, MS 39071 601.879.9376 Please print and return by mail to the above address along with your payment. FACC MEMBERSHIP APPLICATION Name/Business_____________________________________________________________________________   Mailing Address______________________________________City___________________St._______Zip__________   Physical Address______________________________________City___________________St_______Zip__________   Contact Person _______________________Phone Number_______________________   Email Address__________________________ Fax Number________________________   Type of Business__________________________________________________________________________________   Web site:_______________________________Days and Hours of Operation:_______________________ Yearly Fees:  Business         (0-4 employees)         $125.00                        (5-14)                          $150.00                       (16 & Up)                    $175.00 Associate Member                              $25.00 Nonprofit Entity                                $50.00   Please check any of the following: _____ interested  in being an Ambassador  ( help with ribbon cuttings, events, banquet etc…) _____ interested in being on the Board of Directors _____ interested in being on a committee Thank you in advance for joining the Flora Area Chamber of Commerce.  We look forward to working with you and/or your business in helping to promote it while promoting Flora and the surrounding area.