If you
would like to become a member, please print this application, fill it out, and
mail it to:If you
would like to become a member, please print this application, fill it out, and
mail it to:
Heart of the Rockies Chamber of Commerce
406 West Highway 50
Salida, CO 81201
**Please include a bio, and a full description of your business, along with this application and your payment.
Business Name:_________________________________________________________
Business Phone:_________________________Fax:____________________________Other Phone:_________________________Toll Free:__________________________
Email:____________________________Website:_____________________________
Owner Name:_________________________Mgr Name:________________________
Physical Address:_______________________________________________________
Mailing Address:________________________________________________________
Tax ID# (or Social Security#): ______________Date Business began:______________
Business Hours including day’s closed: _______________________________________
If lodging facility indicate # of beds:__________________
If restaurant indicate # of seats:______________________
Number of employees – Full time:____________________Part time:_______________
Annual Dues
Amount of Annual Dues: (See itemized list provided on previous page)____________________
**All first-year applicants must pay for the entire first year. Upon request, billing for the
following years can be changed to one of three options: Quarterly, Semi-annual or
annual. We accept cash, checks, money orders and all major credit cards.
References
Please list three references, including contact name and phone #, from the Salida area or from your previous location:
1._____________________________________________________________________
2._____________________________________________________________________
3._____________________________________________________________________