Bear Lake Rendezvous Chamber of Commerce
Application
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P.O. Box 55 Garden City, UT 84028 || 435-946-2197 |
Please complete this form as much as
possible. The information on this form is what we use to update
our records and our website. Mail or deliver this form to our office
along with your membership dues. |
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Business Name:
_____________________________________________ Phone:____________________
Physical Address:____________________________________________
Other Phone:_________________
City___________________________________________ State________
Zip __________
Mailing Address:_____________________________________________
Fax:___________________
City___________________________________________ State________
Zip __________
Owner Name/Contact
Name:_____________________________________________
E-mail: _____________________________________ Include
email on website listing? Yes No
Website
Address:_________________________________________________________________
Description of Business/Organization: (Maximum 25 words)
_________________________________________________________________________________________
_________________________________________________________________________________________
Would you or a representative from you business like to be on the
Chamber Board? Yes No
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| Place a check mark up to two categories that best describes your
business. |
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Entertainment and Recreation |
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Lodging and RV Parks |
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Government and Organizations |
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Retail Shopping |
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Health, Medical, Fitness, Pharmacy |
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Restaurants |
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Industries and Manufacturing |
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Realtors, Rentals and Title Companies |
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Agriculture and Pets |
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Contractors, Builders, Construction |
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Auto sales, repair, parts |
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Industry and Manufacturing |
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Insurance Companies |
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Financial, Banks, ATMs |
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Services and all others |
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Membership Dues
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| Businesses |
$75.00 |
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| Individual |
$50.00 |
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| Number of Employees:_____ Amount Paid: $____________ Today's
Date:___________ |