membership form

Join like-minded individuals and business people working together, sharing their energies and expertise in building a strong community.

New & Returning members!

We’ve Been Building Business & Community in Belle Fourche Since 1995

Membership Payment Form

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New Membership or Renewal?*

New Member

Renewing Member

Chamber Membership Level*

Primary Business Category*

If Other, what category?*

Referred By

Reason for Joining

How may we serve you better this year?*

Your Business Information

Business Name*

Please tell us more about your business / organization:*

Has your business address / contact info changed?*

Yes

No

Business Contact Name*

First Last

Business Phone*

Business Email*

Business Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code

Business Physical Address

Street Address City State / Province / Region ZIP / Postal Code

Business Website URL

Social Media URL (Facebook, Instagram, Linked In, Twitter, YouTube, etc)

Business Logo

PNG or JPG is best. We will post this online to our directory. Thank you!

Accepted file types: jpg, jpeg, png, gif.

Billing Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Billing Phone*

Billing Email*

Total

Payment Method*

Credit Card Online

Mail-in Check

Credit Card

Cardholder Name

Card Details

Payment Instructions

NOTE: Our mailing address is different than our location.

Please mail your payment to us at: PO Box 905, Belle Fourche, SD 57717

or drop-off your payment to us at: 509 Grant St, Belle Fourche, SD 57717

Name

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Ask Any Question or Join the Chamber!

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Call Us

(605) 892-2676

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Comments

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Office Location

509 Grant St, Belle Fourche, SD 57717

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Mailing Address

PO BOX 905, Belle Fourche, SD 57717

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Open Hours

Monday - Friday: 9 am - 4 pm

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Email

[email protected]

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