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.

  1. How do you feel the chamber could improve commerce in Mineral County?

____________________________________________________________________________________________________________________________________________________________________

 

  1. Which areas do you feel the chamber could be more involved?

____________________________________________________________________________________________________________________________________________________________________

 

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: _______________________________