Online Application

Online ApplicationFirefly Marketing2024-12-12T14:07:20-06:00

Join the Chamber

Please complete the application below.

Business Name

Contact First Name

Contact Last Name

Title

Business Logo

Physical Address*

City, State Zipcode*

Invoice Address

City, State Zipcode

Primary Phone (used for business profile)*

Alternate Phone Number

E-mail Address*

Fax

Website URL

Instagram

Facebook

Twitter

LinkedIn

YouTube

Number of Employees

Number of Full Time

Number of Part Time

Type of Business*

Investment Schedule*

Number of Additional Members

Submitted By

Payment Options*

Only fill in if you are not human

Jeff Davis Chamber of Commerce

100 Rue de l’ Acadie (I-10 park Exit 64)
Jennings, LA 70546
(337) 824-0933

[email protected]

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