Membership Application

Membership Investment

Please fill out the form below to become a member of The Partnership. Regardless of your business size, longevity, or goals, our Membership Investment Levels can help you achieve what’s most important to you and your business. Join today!

"*" indicates required fields

Business Name*

Business Category*

Select the category that best describes your business

Primary Contact*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Physical Address

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Email*

Website

Cell Phone for Text Notifications

This is optional

Number of employees

Additional Info

What are you hoping to get out of The Partnership?

Would you like an Ambassador mentor?*

Yes

Is this a minority-owned business*

Yes

Is this a membership renewal or new membership?*

Who referred you for membership?

I would like to schedule a ribbon cutting

Yes

Are you located downtown?*

Is your business in the Main Street district of Starkville?

Yes

Membership Level

Select your membership type below.

Membership Investment Level*

Nonprofits Only

Nonprofits Get a Discount of 20% of Membership

If you are a nonprofit organization, click the box below to apply your 20% to the membership investment level selected above.

20% nonprofit discount

Nonprofit Discount

$0.00

Total Membership Investment

Total

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Date*

NOTE: This form is processed through PayPal. When you click “submit form” you will be redirected to PayPal for payment processing. You do not need a PayPal account. Simply click the button “Pay with Debit or Credit Card” instead of logging in to PayPal.

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Name

This field is for validation purposes and should be left unchanged.