Bismarck-Mandan Convention & Visitors Bureau

Membership Application

Company Name:
Dues:
Main Contact:
Billing Contact:
Owner:
	Please limit one person when service or information is needed.
Physical Address:
City:
State:
Zip:
Billing Address: (if different from above)
City:
State:
Zip:
Phone:
Toll Free Phone:
Auxiliary Phone:
Fax:
Email:
Website:
Please enter a brief description (20 words) about your products/services. Remember, this is your company's first impression to the visitors and meeting planners, choose your description carefully.
Description (in complete sentences):
Reason for Joining:
Date:
Membership Dues are deductible as a business expense, not a charitable donation. This membership will be billed annually unless notification is received by phone or in writing 30 days prior to renewal date.