Business Empowered Mississippi Partnership Application

Business Empowered Mississippi Partnership Application
The mission of Business Empowered Mississippi is to empower, encourage and equip those in business with Christ-centered principles, so they may advance the Kingdom of God in their sphere of influence. This is achieved by:
- Connecting business leaders to God and each other through meetings and events.
- Equipping individuals to excel in their God-given gifts and talents.
- Educating and providing expertise in the areas of leadership and business management.
- Praying for you and your business continually.
- Outreaching through charitable projects to exemplify the love of Christ in our communities.
Our Vision at Business Empowered Mississippi is to equip, empower, and encourage leaders in their calling and in their community. We believe that every person and city has a call and purpose that when realized and rightly connected to God and others, they will achieve great things.

Mississippi is known as the “Magnolia State”, the south’s warmest welcome. The Magnolia flower symbolizes beauty, joy, endurance, purity, and health. Our goal is to help every business reflect the beauty of the magnolia as they exemplify the love of Christ throughout their community.
I am a... (Check one of the following)

New Partner Existing Partner (Renewal)
Are you a referral?

Yes No
Who referred you?
Phone Number

Area Code Phone Number
Email
example@example.com
Age:

18-29 30-40 41-59 60-70 71 & older
Title/Position
Applicant's Name

First Name Last Name
Email
example@example.com
Applicant's Spouse

First Name Last Name
Spouse's Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Business/Ministry Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Main Phone Number

Area Code Phone Number
Fax Number

Area Code Phone Number
Email
example@example.com
Website
Company Contact 's Name
Phone Number

Area Code Phone Number
Email
example@example.com
Number of Employees
Date Business/Ministry Started
Upload your picture and/or logo. *

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Reason for Partnering (Check all that apply)

Personal Growth & Development Professional Growth & Development Spiritual Growth & Development Special Events Educational/Training Programs Increase Visibility Networking Opportunities Speaking Opportunities Coaching Opportunities Volunteering/Leadership Opportunies Team Building Opportunities Prayer Covering for You & Your Business Business Building Training & Development
ANNUAL PARTNERSHIP INVESTMENT: FOR FACTS AND DETAILS ON YOUR PARTNERSHIP LEVEL, PLEASE GO TO WWW.BEMISSISSIPPI.COM. ALL PARTNERSHIPS IN THE AMOUNT OF $1500.00 OR MORE MUST MAIL IN APPLICATION AND PAYMENT).

Individual or Couples (Husband and Wife) - $150.00 VIP (Vitality Investment Partner - up to 5 Employees) - $375.00 SOAR (Success Objectives Achievements & Revitalization - up to 12 Employees) - $650.00 The BEST (Business Empowered Success Trailblazers) of MS Bronze - up to 24 Employees) - $1,500.00 The BEST (Business Empowered Success Trailblazers) of MS Silver - up to 50 Employees) - $2,500.00 The BEST (Business Empowered Success Trailblazers) of MS Gold up to 100 Employees - $5,000.00 The BEST (Business Empowered Success Trailblazers) of MS Platinum - 101 -250 Employees - $7,000.00 The BEST Corporate (Business Empowered Success Trailblazers) of MS Bronze - 251 -350 Employees - $8,500.00 The BEST Corporate (Business Empowered Success Trailblazers) of MS Silver - 351 -500 Employees - $10,000.00 The BEST Corporate (Business Empowered Success Trailblazers) of MS Gold - 501 -750 Employees - $12,000.00 The BEST Corporate (Business Empowered Success Trailblazers) of MS Platinum - 751 - up Employees
For partnerships "The BEST" partnership levels please print your partnership application and it along with your check or money order to: Business Empowered Mississippi, Attention: Partnerships, P.O. Box 2683, Madison, MS 39130 OR choose payment option below.

Choose Your Partnership Level

Annual Partnership $ 150.00

Individual/Married

Annual Partnership Options

VIP (Vitality Investment Partner) $ 375.00

Up to 5 Employees

VIP (Vitality Investment Partnership) Options

SOAR (Success Objectives Achievements Revitalization) $ 650.00

Up to 12 Employees

SOAR (Success Objectives Achievements Revitalization) Options

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Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

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