MEMBERSHIP APPLICATION Destination Yellowstone (West Yellowstone Chamber) Membership Application Membership Year runs from September 1 - August 30. Those whose investments are paid after October may not be included in the new Travel Planner. Step 1 of 8 12% Name of Business Corporate Name or DBAif different than the above Contact Name First Last Business NumberOwner/Manager Contact Numberif different than the business number. This will not be published.Toll Free NumberBusiness Email Owner/Manager Emailif different than the business email. This will not be published. Website Physical Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Section I Base FeeSelect the ONE that best represents your annual GROSS sales volumeBase FeeSelect the ONE that best represents your annual GROSS sales volume $0.00 to $25,000 of annual gross sales $25,0001 to $100,000 of annual gross sales $100,001 to $175,000 of annual gross sales $175,001 to $250,000 of annual gross sales $250,001 to $500,000 of annual gross sales $500,001 and up of annual gross sales Total Section IIComplete all that apply (under this roof, same ownership)Hotel/Motel, Cabins, Apartments, Condos, Long-Term Rentals: per room or unit Quantity Price: $6.50 Quantity Restaurants, Lounges, Bars: per seat Quantity Price: $1.75 Quantity Campgrounds, RV Parks: per space Quantity Price: $1.75 Quantity General Retail: per employee Quantity Price: $12.00 Quantity Motor Coach/Van Tours/Snow Coach Tours: per seat Quantity Price: $3.00 Quantity ATV, Snowmobiles, Horse Rentals: per available seat Quantity Price: $3.00 Quantity Banks: per million deposit Quantity Price: $45.00 Quantity Utility Companies: per subscriber Quantity Price: $0.19 Quantity Airline Companies: per passenger Quantity Price: $0.08 Quantity Total Section III Membership ListingPrimary Membership ListingPrimary membership category is free with paid membership. On the following page you may choose additional categories for $75 each.AirlinesAirportsATM & BankingATVAuto: Gas StationAuto: RepairAviationBed & BreakfastBikingBoatingBus & ShuttleBusiness ServicesCabinsCar RentalCateringChuckwagon DinnersChurchesCleaning & Restoration ServicesCoffee Houses & BakeriesCondosContractorsDeli/Boxed LunchesDistilleryDog SleddingEmergency ServicesEngineering & PlanningEvent/Tour/Group CateringFinancial ServicesFishingFood and Beverage StoresFor Families & KidsGolfGovernment OtherGovernment TownGuided BackpackingGuided ToursGuided Tours Summer (National Forest)Guided Tours Summer - Motorcoach and Van (Yellowstone/Teton)Guided Tours Summer - Self-Guided (Yellowstone/Teton)Guided Tours Summer - Step-On Guide (Yellowstone/Teton)Guided Tours Winter (National Forest)Guided Tours Winter - Snowmobile (National Forest)Guided Tours Winter - Snowcoach (Yellowstone)Guided Tours Winter - Snowmobile (Yellowstone)Health & Fitness ServicesHikingHistory & MuseumsHorseback RidingHostelHotel & MotelInternet ServicesKayakingLounges & BarsManufacturingMedia ServicesMovies & TheatersNon-Guided Snowmobiling (National Forest)Non-Member CondosNon-Member HotelNon-Member RV ParkNon-Member Vacation RentalOffice Supplies & EquipmentOrganizationsPackaging & ShippingPetsPhotographersPhotography ToursPrintersRaftingRanches/Lodges/ResortsReal Estate & DevelopmentRestaurantsRockhounding & ProspectingRodeoRV Parks & CampgroundsRV RepairSalon/SpaScenic DrivesSchoolShoppingSkiingSleigh RidesSnowshoeingSuppliersTaxiUnique AdventuresUtilitiesVacation Planning & Travel AgenciesVacation RentalsWildlife ViewingZiplineBusiness Description Section IV Additional Listings Same BusinessYou may choose to list in more than one category, includes: description, live link and mapping. Additional ListingAvailable at $75.00 each Airlines Airports ATM & Banking ATV Auto: Gas Station Auto: Repair Aviation Bed & Breakfast Biking Boating Bus & Shuttle Business Services Cabins Car Rental Catering Chuckwagon Dinners Churches Cleaning & Restoration Services Coffee Houses & Bakeries Condos Contractors Deli/Boxed Lunches Distillery Dog Sledding Emergency Services Engineering & Planning Event/Tour/Group Catering Financial Services Fishing Food and Beverage Stores For Families & Kids Golf Government Other Government Town Guided Backpacking Guided Tours Guided Tours Summer (National Forest) Guided Tours Summer - Motorcoach and Van (Yellowstone/Teton) Guided Tours Summer - Self-Guided (Yellowstone/Teton) Guided Tours Summer - Step-On Guide (Yellowstone/Teton) Guided Tours Winter (National Forest) Guided Tours Winter - Snowmobile (National Forest) Guided Tours Winter - Snowcoach (Yellowstone) Guided Tours Winter - Snowmobile (Yellowstone) Health & Fitness Services Hiking History & Museums Horseback Riding Hostel Hotel & Motel Internet Services Kayaking Lounges & Bars Manufacturing Media Services Movies & Theaters Non-Guided Snowmobiling (National Forest) Non-Member Condos Non-Member Hotel Non-Member RV Park Non-Member Vacation Rental Office Supplies & Equipment Organizations Packaging & Shipping Pets Photographers Photography Tours Printers Rafting Ranches/Lodges/Resorts Real Estate & Development Restaurants Rockhounding & Prospecting Rodeo RV Parks & Campgrounds RV Repair Salon/Spa Scenic Drives School Shopping Skiing Sleigh Rides Snowshoeing Suppliers Taxi Unique Adventures Utilities Vacation Planning & Travel Agencies Vacation Rentals Wildlife Viewing Zipline Attach your word copy for each premium listing if different than primary listing copy. Drop files here or Select files Max. file size: 512 MB. Additional Web Addresses Quantity Price: $45.00 Quantity Use this if you have more than one web address and want your listings to go to different web addresses: Secondary Listing QuantityAdditional BUSINESS operated under the same roof (and same owner) add. Includes: description, live link and mapping. Price: $75.00 Quantity Total Section V Sleeping AccommodationsHotels/MotelsRate per room per night; taxes additional $100 or less $176-$250 $101-$175 $251 and up Cabins/Condo/Bed & Breakfast/Ranches, Lodges & Resorts $150 or less $226-$300 $151-$225 $301 and up Number of Units Hotel/MotelNumber of CabinsNumber of CondosNumber of Bed & BreakfastsNumber of Vacation RentalsNumber of Ranches, Lodges & ResortsAmenitiesKitchenettesInternet AccessPets acceptedRestaurantCB Continental BreakfastIndoor PoolOutdoor PoolHot TubHandicap Accessible RoomsSuites (2 or more rooms excluding bath)Operational SeasonsSummerWinter Section VI Campgrounds/RV ParksRate per room per night taxes additional $30 or under $31-$40 $41-$50 $51 and up Number of RV SitesNumber of Tent SitesNumber of Camping CabinsNumber of Full CabinsAmenitiesLaundryDump StationElectric/SewerMaximum RV LengthShowersFlush ToiletsPool or BeachCable /Satellite TVInternet AccessOperational SeasonsSummerWinter Total of all SectionsOnce your application has been processed, our staff will be in contact for payment. Name First Last Date MM slash DD slash YYYY Name of Business CAPTCHA