Member to Member Discount Form
The Blackstone Chamber of Commerce 
Office Location: 105 West Broad Street, Blackstone, VA 23824
PO Box 295, 
Blackstone, VA 23824
Email: blackstonevachamber@gmail.com
Phone: (434) 294-0280
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Adresse e-mail *
Name (Last, First)  *
Name of Business or Organization *
Address
Best Contact Email *
Contact Phone Number *
Describe the discount that you would like to offer other members.  *
Would you like to be contacted to supply more information? *
Obligatoire
Signature *
By typing your name below you are offering a good or service to be discounted for members of The Blackstone Chamber of Commerce.
Date of Signature
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