Member

The Moultrie-Colquitt County Chamber of Commerce offers membership packages for interested businesses, non-profit organizations, and residents. Please take a moment to fill in the application and a Chamber representative will contact you. If you have any questions, please feel free to contact us at 229-985-2131. Thank you.

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): *

Comments / Questions:

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: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Additional Opportunities:

We will contact you with additional information.

Colquitt Cash
Now is your opprotunity to join the Colquitt Cash Program. This is a FREE PROGRAM for Chamber Members only! This program is designed to support local merchants by issuing gift certificate checks from the Chamber that are redeemable at your business. Recipients of the "Colquitt Cash" gift certificates may reedem them for merchandise or services only at participating Chamber Member businesses. "Colquitt Cash" is designed to keep money in Colquitt County where most of our members conduct business. We encourage ALL Chamber Members to participate. Drugs Don't Work Program
Save 7.5% on your Workers Comp Insurance. A Chamber representative will contact you with additional information. Auto Owners Insurance Discounts
Receive 10 to 12% discount on any line of Auto Owners Insurance premiums. A Chamber representative will contact you with more details. Blue Cross Blue Shield Insurance Discount
Receive a 3% discount on Blue Cross Blue Shield Insruance Premiums.

Payment Option:

Bill me

Print Application

Member Application

Mailing Address

Address

Address