blackstoneva.com - Service Agreement
Blackstone Chamber of Commerce
blackstoneva.com Service Agreement


This agreement is entered into as of the date set forth below, by and between Blackstone Chamber of Commerce,through its division, blackstoneva.com and the undersigned provider of information and content (content provider).By completing the registration process, you, the content provider, are indicating your agreement to be bound by all of the terms and conditions provided herein.
Firm Name____________________________________________________________________________________

Contact Person______________________________________________Phone____________________________

Fax_____________________________Email________________________________________________________

Business Address_____________________________________________________________________________

City___________________________________________State____________Zip Code_____________________

Web Site URL_________________________________________________________________________________

Applicant Signature__________________________________________________________________________

Please check the desired features:

____4 MB Space Address _____________________________ Price: ___-0-_____

____Additional Space ________________________________ Price: ____________

____Banner Advertisement _____________________________ Price: __________

____Link to blackstoneva.com __________________________ Price: ___-0-_____

____E-mail Account (yourname@blackstoneva.com)__________ Price: ___-0-_____


E-mail user name & password ___________________________________________________


This application prints on one page. Use "8 1/2" by 11" paper.
Mail or Fax to the Chamber Office:
Blackstone Chamber of Commerce, P.O. Box 295, Blackstone, VA 23824
Fax (804)292-1588