Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Social Network Addresses

Facebook

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Source - How did you hear about us?

Additional Information

Fiscal Year

Primary reason Invest

Ideal Client/ Customer

Diversity

Keywords

Social Media Handles

Facebook Handle

Instagram

Twitter

TikTok

Apartment Units

Banks- Estimated Millions In Deposits

Hotel Units

Firms- Partners

Full Time Employees

I'm Interested In Learning More About

Sponsorship Advertising

Work Ready Community Business

Pine Belt Young Professionals

Leadership Pinebelt

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Facebook

Create Account

Password

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Create Account

Password

Step 5:

Membership Package

Please select a Membership Package

APARTMENTS

$300 base + $1 per unit See fee schedule and enter fee here:

Please enter your fee.

BANKS

$20 per $1 million in deposits within Greater Hattiesburg See fee schedule and enter fee here:

Please enter your fee.

GOVERNMENT EMPLOYEES, K-12 AND COMMUNITY COLLEGES $ 300

HOTELS

$4 per unit with a $300 minimum See fee schedule and enter fee here:

Please enter your fee.

NON-PROFITS, RETIREES, AND INDIVIDUALS $ 150

FIRMS WITH PARTNERS

Law firms, accounting firms, architectural firms, etc., pay $100 per partner in addition to the $300 base and $7 for each full-time employee located within Forrest, Lamar, Perry, Covington, Jones, and Marion Counties. See fee schedule and enter fee here:

Please enter your fee.

ALL OTHER BUSINESSES AND ENTITIES

$300 base + $7 for each full-time employee located within Forrest, Lamar, Perry, Covington, Jones, and Marion Counties See fee schedule and enter fee here:

Please enter your fee.

Comments/Questions

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Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Social Network Addresses

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package