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July 29, 2010
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Membership Application
20.
*Organization Name:
 Date:
Physical Address:
Mailing Address:
(if different from mailing address)
Telephone:
Fax Number:
Website:
Years in Business:
Number of Full-Time Employees:
Number of Part-Time Employees:
Brief Description of Business/Organization:
(25 words or less)
Primary Contact:
 Title:
    Phone:
   
Email:
Secondary Contact:
 Title:
    Phone:
   
Email:
What is your primary expectation as a new Chamber/CVB Member?
Membership Level:
Yellowstone ($300) Pioneer ($550)
Rimrock ($1,000) Beartooth ($2,500)
Granite Peak ($5,000) Big Sky ($10,000)
Hotel/Lodging $
Payment Schedule:
Annual
Semi-Annual
Quarterly
Monthly*
Payment Method:
Cash
Check (payable to Billings Chamber of Commerce)
Credit Card
I am joining the Chamber of Commerce because:
(check all that apply)
Chamber Choices Health Insurance Networking
Visibility Community Involvement
Partnership Building  
Other:
I am interested in finding more about:
Government Affairs Leadership Billings
Blue Blazers Committee Leads Group
Convention & Visitors Bureau Ambassadors
Sports Committee Salesperson's Breakfast
Golf Tournament Agriculture
Energy Workforce Development
Taxation Education
Healthcare Transportation
 

Submit application and payment to: Billings Chamber of COmmerce
ATTN: Membership Department
815 S. 27th Street, Billings, MT 59101
or FAX to (406) 245-7333

Submit Logo Electronically with "New Member Logo" in the subject line to kim@billingschamber.com
Form Verification
To verify your submission please type in the text you see above:
 

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