Chamber Application - Meaford Chamber of Commerce

Fields marked with a * are required.

Individual or Business Name: *

Please describe your business or organization *

Number of Employees *

Web site:

Date Business Established (m/d/yyyy) *

Primary Contact Name: *

Email *

Phone *

Fax:

Alternative Phone (or cell):

Alternative Contact Name:

Business Street Address *

City *

Post Code *

Membership Rates Membership Fees are based on the number of employees. Two part-time employees equal one full time employee. Membership fees are for the calendar year from the date of payment.

Please check the appropriate box:

Junior Member (<19) $40

Individual/Non-business $60

Non-Profit Organization $60

Self-employed $100

Business 1-3 employees $150

Business 4-6 employees $170

Business 7-20 employees $250

Business 21-50 employees $295

Business more than 50 employees $375

We will contact you for your payment details.

Date of application *

Please answer an Anti-Spam question - What is the total of 2 + 2 *