Application for Membership or Renewal
Business Name: ________________________________________________________________________
Contact Person: ________________________________________________________________________
Mailing Address: ________________________________________________________________________
Phone: ___________________________________ Fax:
_______________________________
Email
________________________________________________________________________
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?
_______________________________________________________________________________________________________________________________________________________________________________________________________________
2.
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: _______________________________
Mineral
County Chamber of Commerce
P.O. Box 483
Superior, Montana 59872-0483
(406) 649-6400