Black River Area Chamber of Commerce - Membership Registration

Full name of business/ individual

Owner and/or manager’s name

Contact person

Location address

Street Address City State ZIP Code

Mailing address

If different than location address.

Street Address City State ZIP Code

Phone Number

Cell Phone Number

Toll Free Number

Email Address

Website

Facebook

Full-time Employees

Part-time Employees

* If lodging/housing facility, Number of lodging/rental units

Description of your business/organization for the Business Directory

Upload logo and any additional photos for your listing on the website.