Business Empowered International Chamber Membership Application

I am applying as a ... (Check one of the following)*

New MemberExisting Member (Renewal)

Applicant’s Name*

Name of Business/Organization

Do you own or operate more than one business?

YesNo

If yes, please list the names and websites of your other businesses below:

Clarify Which Business Is the "Primary":

Applicant's Title/Position*

Applicant's Email*

example@example.com

Phone Number*

Area CodePhone Number

Home or Business Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Business Website

Preferred Method of Contact*

Tell us about your business in 250 words or less.*

Upload Your Headshot*

Browse Files

Upload Your Company Logo

Browse Files

Faith Foundation Membership: $150/year

Includes: Prayer Coverage, Bible Studies, Business Directory Listing, Discount Club Access, and Vendor and Networking Events.

Kingdom Builders Membership: $300/year

Includes: All Faith Foundation Benefits, plus Ambassador Program, Training, Referrals, Member Spotlights, and Ribbon Cutting Support.

Ambassador Membership: $600/year

Includes: All Kingdom Builders Benefits, Enhanced Visibility, and Exclusive Networking Events.

Legacy Membership: $1,200/year

Includes: All Ambassador Benefits, plus Leadership Retreat, VIP Status, Community Impact Projects, and Customized Benefits.

Select Business Size (For Kingdom Builders, Ambassador, and Legacy Memberships Only)

2-10 Employees: $150 additional11-50 Employees: $300 additional51-100 Employees: $600 additional101-500 Employees: $1,200 additional500+ Employees: Custom Quote (Scroll down and submit your application and you will be contacted within 24 hours).

Ambassador and Legacy Membership Please Select An Ambassadorial Program

State or Regional DirectorThe Pink CEO Women's LeagueThe Barbers & Beauty ExecutivesThe Healthcare Advocacy DivisionThe Ultimate Event Planners DivisionMarketplace Ministry AmbassadorBusiness Empowered International Men's LeagueSpeaker/Coach/Teacher/Trainer Access

Additional Interests (Optional)

Volunteer OpportunitiesPrayer Partner ProgramRibbon Cutting SupportCity Calling Global Initiative Volunteer Program

Are you a referral?*

YesNo

If so, who referred you?

How did you hear about Business Empowered?

Social MediaWebsiteFriendOther

Terms & Conditions*

I agree to uphold the values and mission of Business Empowered International Chamber of Commerce and understand my responsibilities as a member.

Payment Frequency (All Annual Payment Receives 10% Discount Code: SAVE10) *

Checkout: The application can be submitted by mail. Please print the PDF version of this membership application by clicking the print button below and mail it along with your check or money order to Business Empowered Mississippi, Attention: New Member: 408 Clinton Blvd., Clinton, MS OR submit your payment below.

Afterpay is available for Single Memberships Only. If you're using Afterpay, select your membership level and scroll down and click on Afterpay.

Faith Foundation Single Membership: $150/year$150.00

Includes: Prayer Coverage, Bible Studies, Business Directory Listing, Discount Club Access, and Vendor and Networking Events.

Kingdom Builders Single Membership: $300/year$300.00

Includes: All Faith Foundation Benefits, plus Ambassador Program, Training, Referrals, Member Spotlights, and Ribbon Cutting Support.

Payment Frequency

Kingdom Builders Employee Plus Membership Starting At$450.00

Includes: All Faith Foundation Benefits, plus Ambassador Program, Training, Referrals, Member Spotlights, and Ribbon Cutting Support.

Number of Employees

Ambassador Individual Membership: $600/year$600.00

Includes: All Kingdom Builders Benefits, plus Ambassador Program, Enhanced Visibility, and Exclusive Networking Events.

Ambassador Employee Plus Membership Starts at $750/year $750.00

Includes: All Kingdom Builders Benefits, plus Ambassador Program, Enhanced Visibility, and Exclusive Networking Events.

Number of Employees

Legacy Single Membership: $1,200.00 Annually$1,200.00

Includes: All Ambassador Benefits, plus Leadership Retreat, VIP Status, Community Impact Projects, and Customized Benefits.

Payment Frequency

Legacy Employees Plus Membership: $1,200.00 Annually $1,350.00

Includes: All Ambassador Benefits, plus Leadership Retreat, VIP Status, Community Impact Projects, and Customized Benefits.

Payment Frequency

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Welcome to Business Empowered International Chamber of Commerce

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