Business Member Application
Your Name *
Business Name *
Full Shipping Address (USPS) *
Street, City, State, Zip
Full Shipping Address (USPS) *
Street, City, State, Zip
Phone *
Email *
Website *
Facebook URL
Twitter URL
Membership Level (see http://is.gd/indiemember to review benefits provided):
Years in Business
Number of Employees
Please specify number of Full Time and Part Time
(Optional) What is your ethnicity/race and gender?
Are you exploring starting an Independent Business Alliance or buy local campaign?
Please upload your logo for inclusion on our website and any customized materials
Please indicate which item you'd like customized with your logo (electronic file to be sent via email)
If you selected an ad, please indicate which of our ads and for what use
Please indicate here if you intend to send us a check (222 South Black Ave. Bozeman, MT 59715). Upon clicking "send" you will be directed to our online checkout if you would like to pay online. Your materials will be sent upon receipt of payment.
If you only wish to receive our web listing and do not want any of our physical materials or customized graphics please indicate so here.
To pay online for your membership, please open this link, then submit your form:
Submit
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