Chamber Membership Registration Form
If you prefer to print the application form,
view a printable PDF version here.
Bold fields are required
Name of Company:
Contact Person:
Mailing Address:
Street Address:
(if different)
Telephone:
Fax:
Toll-free:
Mobile:
E-Mail:
Show on Chamber
Website
Website:
Brief description of your business or industry
(please complete even if you are renewing):
0
of 255 characters used.
Can you volunteer to sit on a Chamber Committee?
If so, which area interests you?
Do you require a receipt?
Please tick box to confirm (anti-spam):
Prorated Membership Fees
2010
2011
January
$85.00
$100.00
February
$78.00
$92.00
March
$71.00
$84.00
April
$64.00
$75.00
May
$57.00
$67.00
June
$50.00
$59.00
July
$43.00
$50.00
August
$36.00
$42.00
September
$29.00
$34.00
October *
$122.00
$125.00
November *
$115.00
$117.00
December *
$108.00
$109.00
* Includes next year.
Memberships paid by December 1, 2010
receive a $15 discount.
Please make your cheque payable to "Newcastle and District Chamber of Commerce" and mail to:
20 King Ave. W., Box 11
Newcastle, Ontario L1B 1H7.