Join / Membership Application

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

Business Logo
Accepted file types: jpg, jpeg, png, gif.
Business Name*
Business Category*
Select the primary category for your business below
Primary Contact for Business
Name*
First Last
Email*
Enter Email Confirm Email
Other Key Personnel
List the names of your key personnel
Business Mailing Address*
Street Address Address Line 2 City State ZIP Code
Business Physical Address
Street Address Address Line 2 City State ZIP Code
Phone*
Website
Do you have social media accounts for your business?*
- Yes
- No
Facebook Page
Instagram
Other
List social media service and URL
Membership Information
Number of Employees*
Year Founded
Who referred you to the 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
Memberships 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.

Primary Contact for Business