Mineral County Chamber of Commerce
P.O. Box 200
St. Regis, Montana 59866
(406) 822-4891
E-mail: mccoc@blackfoot.net
Business
Name: ________________________________________________________________________
Contact
Person: ________________________________________________________________________
Mailing
Address: ________________________________________________________________________
Phone:
___________________________________ Fax:
_______________________________
Email
and /or web site:
___________________________________________________________________
Number
of Employees: ______________________
Date
Business Opened: ____________________
Days & Hours:
_______________________
Type
of Business:
_______________________________________________________________________
Services
Offered: _______________________________________________________________________
The
Chamber provides information to area newcomers and others who inquire. Please enclose a supply (approximately 100)
of brochures, business cards or coupons for this purpose. We will alert you when we need more.
____________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________
3. Would you
be interested in joining a committee?
Yes _______ No:
__________
4. How would
you like receive communications?
Email_______ Phone _______ U.S.
Mail _____
Annual Dues:
Individual (not
affiliated with any business) $15.00
1 – 3 Employees $75.00
4 – 6 Employees $125.00
7 + Employees $175.00
Non-profit
Charities Fee
Waived (Donations Accepted)
THANK YOU FOR
YOUR TIME. PLEASE ENCLOSE PAYMENT WITH APPLICATION
Signature: _______________________________________ Date: _______________________________