On-Line Membership Application

  


Application Form
Thank you for choosing to join the Stillwater County Chamber of Commerce.

Please fill out the application form below.
Should you have any questions please call (406) 322-4505.

If you would rather not pay on-line Click Here and you can submit the application online and
mail your check to the address at the bottom of the application or you can print the application
and mail your check to the address at the bottom of it.

* Business Name:
  Description of your Business:
Web Site:
* Your email address:
* Confirm email address:
* Contact Person:
* Mailing Address:
* City:
* State:
* Zip:
* Subject:
Phone:
Cell Phone:
Toll Free Phone:

Individual Business:
Schools, Churches, Non-Profit:
Community - based organization:
Individuals (no business):
1-5 Employees:
6-10 Employees:
11-100 Employees:
101+ Employees:
Financial/Utilities:

Medical Facilities-Hospitals, Clinics etc. See Business rates above
  Message for Membership Administrator:

You must fill in the fields marked with a *