Member

Business Information

Company Name: *

Leave Blank:

Phone:

Website:

Email:

Business Description (200 char max):

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

How did you hear about us?: *

Category :

For Hotels, Motels, & Apartments: Number of Units:

Web Address:

Referred By:

Parish: *

Physical Address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone:

Email:

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Phone:

Email:

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook

Membership Options

Membership Package: *

Platnium: $350.00
our premium level of membership First Month - Membership: $1.00
This option is with the understanding that this is for your first month of membership and will be setting up monthly auto payments Gold Member: $325.00
gold Silver Package: See fee schedule to determine the fee and enter it below.
Silver package Bronze: Please contact us to determine the fee.
Third level of membership If using fee schedule, enter fee here:

Additional Fees:

Application Fee : $35.00
One Time Application Fee

Additional Opportunities:

We will contact you with additional information.

Additional category : $35.00
Add on Enhanced LIsting : $100.00
An upgraded listing on the business directory and discounted pricing on many events

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address