Business Application/ Profile

About the Business

Is your business locally owned?

This program is open only to businesses located in Barton County.

*

Yes

No

Business Name *

Business Category *

Area Chamber of Commerce Members (please check all that apply): *

This business is a member of the Ellinwood Chamber of Commerce

This business is a member of the Great Bend Chamber of Commerce

This business is a member of the Hoisington Chamber of Commerce

Is your business currently a member of the Great Bend Chamber of Commerce? *

Yes, this business is a member of the Great Bend Chamber of Commerce.

No, this business is not a member of the Great Bend Chamber of Commerce, and would like a 90-Day Courtesy Membership.

Number of Employees.

Please indicate how many total employees your business has. This includes part-time and full-time employees.

*

Does the business currently sell and accept gift cards or gift certificates?
This program is open only to businesses who currently have the means to sell and accept gift cards and/or gift certificates *

Yes

No

Business Description
Please include a description of your business and/or what your business offers. Your customers will read this information EXACTLY AS IT IS WRITTEN. *

Business Logo or Image

Please upload an image (logo or photo of business) for your listing. Your listing will feature your business name and this image. Please submit one of the following file types - .jpg, .jpeg, .gif, .pdf, .png

Business Ownership - Information for the Business Owner (or Majority Shareholder)

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address *

Contact & Payout Information

The Great Bend Chamber of Commerce will do its best to issue weekly reports of total sales and issue a payout (via check to the address specified above) once per week.

Federal Tax Classification
Check appropriate box for federal tax classification of the person whose name is entered on the first field. Check only one of the following seven boxes. *

Individual/sole proprietor or single-member LLC

C Corporation

S Corporation

Partnership

Trust/estate

Limited liability company (C-Corp Classification)

Limited liability company (S-Corp Classification)

Limited liability company (Partnership Classification)

Nonprofit - 501c3

Taxpayer Identification Number (TIN)
Please select whether you use your federal employment identification number or your personal social security number. SSNs will not be collected electronically. *

My business has an EIN (Employer ID Number)

My business uses my Social Security Number

Business Eligibility Requirements

This program is only open to businesses that meet the following criteria:

• The business must be in one of the following business categories: Bars & Restaurants (Restaurants, Bars/Lounges, Cafes/Bistros). Hospitality (Lodging, Recreation, Entertainment, Health/Sports, Arts/Culture). Retail Sales (Specialty store, Department store, Drug store, Discount store, Used goods). Health & Beauty (Salons, Barbershop, Spa/Massage, Fitness centers). Service Industry (Cleaning, HVAC, Plumbers, Electricians, Lawn Care, Auto Repair, Agriculture)

• The business must be located within Barton County.

Other Business Eligibility Requirements:

• The business must be a member of the Great Bend Chamber of Commerce. Not a Chamber member yet? No problem! Contact Megan Barfield or Angie Hicks at: gbcc@greatbend.org; or call 620-792-2401. We are adamant about supporting ALL Barton County businesses during this time. To demonstrate this, the Great Bend Chamber of Commerce will be extending a 90-day courtesy membership* to non-members so that every business can benefit. There is no obligation to join the Great Bend Chamber of Commerce at the end of 90 days, however, we gladly invite and welcome you! Those choosing to join the Great Bend Chamber of Commerce will enjoy enhanced membership benefits, including a customized online member directory listing and the ability to redeem Chamber Gift Certificates, just to name a couple. *90-day courtesy memberships will enjoy a limited membership and receive the following: Basic online member directory listing, Weekly email updates, Email communications with invites to Chamber events, Monthly Outlook Business Journal.
• The business must currently sell and accept gift cards and/or gift certificates.
• The business must have a valid SSN/EIN/TIN in order to be paid.

My business complies with the requirements of this program. *

Yes, my business complies with the requirements of this program

Complete and Accurate

Have you completed this form truthfully, in good faith and to the best of your ability on behalf of your/the business listed? *

The information I have provided is complete and accurate

You may experience a delay

Upon completion, your listing will not automatically appear. Our teams are working quickly to process this information and create your listing. All efforts will be made to ensure that your listing is posted within 24-48 hours of the time of completion. *

I understand

Reports & Payouts

The Great Bend Chamber of Commerce will do their best to email reports every Monday showing you if you are owed money from the sale of gift cards. If you are, we will mail you a check on that Tuesday for the total purchase amount minus credit card processing fees. A report showing the calculation of credit card transaction fees will be included. Current credit card transaction fees are 2.9% plus $0.30 per transaction. If you do not receive a sales report, it indicates that your business did not receive any sales. *

I agree.