Membership Form

TRADING NAME OF FIRM: *

TYPE OF BUSINESS: *

• INDUSTRIAL
• RETAIL
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• PROFESSIONAL

MAIN BUSINESS ACTIVITY: *

FULL POST ADDRESS: *

POST CODE: *

E-MAIL ADDRESS: *

WEBSITE ADDRESS: *

TELEPHONE NUMBER: *

CONTACT NAME: *

POSITION IN FIRM: *

NUMBER OF EMPLOYEES: *

MEMBER OFFER (an opportunity to provide an exclusive offer to fellow members):

HOW CAN THE CHAMBER SUPPORT YOU? *

WHERE DID YOU HEAR ABOUT THE CHAMBER? *

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