Online Application

Online ApplicationFirefly Admin2017-12-21T13:40:45-05:00

Join the Chamber

Please complete the application below.

Business Name *

Contact Name *

Title *

Physical Address *

Country

City

State

Zip code

Invoice Address

Country

City

State

Zip code

Email *

Primary Phone (used for business profile) *

Alternate Phone

Fax

Type of Business *

Website

Facebook Page

Number of Employees *

Full Time

Part Time

Investment Schedule *

Number of Additional Members

If Professionals (Lawyer, CPA, Physician) Individual - $125 + $62.50 per additional member

Submitted By *

Payment Options

Captcha *

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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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