Company Participation Registration Form

All questions marked with * are required

* Company Name (Name as it should appear in print)
Legal Name of the Company (If different than listed above)
* FEIN (Federal Employer Identification Number) This is necessary to allow only an authorized company representative to register the company and to make sure that a company is signed up only once. Contact us if you prefer not to provide this.
* Phone
* Mailing Address (Include apt./suite no., if applicable)
* City
* County
* State
* Zip Code
Company URL
* Total number of employees in Idaho
* How many of your employees in Idaho can take the Web-based survey? (Must have an email address and have/or can be granted Internet access)
* Will your company require the survey in Spanish?	Yes No
How did you hear about Best Places to Work in Idaho^TM?	Local Chamber of Commerce Idaho Business Review Telephone invitation Email invitation Other [Please Specify]

Email

First Name

Last Name

endorsed by:

Buy Idaho

Idaho Department of Labor

Meridian Chamber of Commerce

Sun Valley/Ketchum Chamber of Commerce

Twin Falls Chamber of Commerce

Coeur d'Alene Chamber of Commerce

Pocatello Chamber of Commerce

Greater Sandpoint Chamber of Commerce

Boise Metro Chamber of Commerce