Membership Application

ADP Membership Application

Joining the Area Development Partnership (ADP) means becoming part of a dynamic network of businesses, organizations, and leaders committed to driving growth and prosperity in Greater Hattiesburg. As a member, you gain access to valuable resources that help you grow and succeed, from business development support and regional partnerships to exclusive networking opportunities that foster meaningful connections. Your membership also ensures your voice is heard in initiatives that shape the economic future of our region while increasing your visibility through marketing, social media, and community engagement. Complete this application to begin your partnership with the ADP and join more than 850 members working together to make a lasting impact in Greater Hattiesburg. If you are already a current member and are needing to renew or unsure of your membership status, please contact our membership team before completing the online application. Ann Scott Mathis – a.mathis@theadp.com Jessica Hendry – j.hendry@theadp.com

Member Info

Company Name(Required)

Please use your company name that you’re signing up for membership under. If you are signing up as a retiree or individual, please use your first and last name.

Name(Required)

First Last

Phone(Required)

Email(Required)

Website

How did you hear about us?

ADP Event, Social Media or Referral (please include name of person referring)

Physical Address

Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address

Is your mailing address different than your physical address?

Yes

Address(Required)

Street Address Address Line 2 City State ZIP Code

Additional Information

Additional Account Reps & Emails

Name

Facebook

Instagram

Billing & Dues Calculation

Name (biling contact)(Required)

First Last

Phone (billing contact)(Required)

Email (billing contact)(Required)

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Type(Required)

Apartment, Bank, Government & Education Systems, Hotels, Non-Profit or Retiree, Firm with Partners, All other Business, Out of Area Business. *out of area business is a business that is located outside of the PineBelt which includes Covington, Forrest, George, Greene, Jefferson Davis, Jones, Lamar, Marion, Pearl River, Perry, Stone, Wayne Counties.

Unit Count (Apartment)

How many units are in your multi-family development?

Total Deposits (Bank)

What is your total deposits in Greater Hattiesburg (in $)?

# of Rooms (Hotel)

How many hotel rooms are included in your hotel?

Partner Count (Firm)

How many partners are in your firm?

# of Employees (Firm)

Please enter a number greater than or equal to 0.

How many employees are in your firm?

# of Employees (All Other)

How many full-time employees are employed at your business?

Apartment Complex

Price: $0.00

$300 base + $1 per unit

Bank

Price: $0.00

$20 per $1 million in deposits within Greater Hattiesburg

Government, K-12, Community College

Price: $0.00

Hotel (Less than 75 Rooms)

Price: $0.00

$4 per unit with a $300 minimum

Hotel (More than 75 Rooms)

Price: $0.00

$4 per unit with a $300 minimum

Non-Profit or Retiree

Price: $0.00

Firm with Partners (Law, Accounting, etc.)

Price: $0.00

Law firms, accounting firms, architectural firms, etc., pay $100 per partner in addition to the $300 base and $7 for each full-time employee located within Forrest, Lamar, Perry, Covington, Jones, and Marion Counties.

All Other Businesses

Price: $0.00

$300 base + $7 for each full-time employee located within Forrest, Lamar, Perry, Covington, Jones, and Marion Counties

Out of Area Business (all other businesses)

Price:

Businesses Outside of the Greater Hattiesburg Area *Out of area business is a business that is located outside of the PineBelt which includes Covington, Forrest, George, Greene, Jefferson Davis, Jones, Lamar, Marion, Pearl River, Perry, Stone, Wayne Counties.. Flat rate of $300.

Internal Test

Price:

Application Fee

Price:

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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