Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Referral: Name of person that referred New Member

Referral: Member Business that referred New Member

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

Postal Code

Facebook

Twitter

Instagram

Create Account

Password

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Fax

Contact Preference

Phone

Address

Address line 1

Address line 2

Country

City

State

Postal Code

Social Network Addresses

Create Account

Password

Step 5:

Membership Package

Please select a Membership Package

Membership Dues

See fee schedule and enter fee here:

Please enter your fee.

Additional Options:

Young Professionals Network Individual Membership

Annul membership dues of $175 to a networking group that meets monthly on the first Wednesday of every month. This add-on will give you access to all meetings and communications within the Young Professionals Network.

Website: Enhanced Directory Listing

Business Directory Annual Fee $150. Enhanced Listing, Profile Page, up to 5 page links, Youtube Video Link, Unlimited Photo Gallery, Logo, and up to 5 categories on Bemidji.org.

218 Relocate Package

Reserved for all remote worker and new residents participating in the Greater Bemidji 218 Relocate program.

Comments/Questions

Payment Option

Bill Me

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Back Next Submit Application Print Application

Member Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Additional Options:

Payment Option