Member Name:
New Member Name (if applicable):
Mailing Address:
City, Province
Postal Code:
Telephone Number
Fax Number:
Toll Free
Email:
Website:
Main Contact:
Main Contact Email (if different from above)
Member Contacts:
Contact 1:
Contact 1 Email:
Contact 2:
Contact 2 Email:
Contact 3:
Contact 3 Email:
Contact 4:
Contact 4 Email:
Business Bio:
Business Bio:
Categories: (Please note: We can only list your company under two categories)
Animals, Pet Supplies & Services
Apparel & Accessories
Architects
Arts & Culture
Audio, Visual, Productions & Equipment
Automotive Sales, Service, Supplies & Accessories
Business & Professional Services
Communication
Community Agencies & Services
Computers & Information Technology
Construction & Renovation
Customer Care Center
Delivery & Distribution
Dry-Cleaning & Alterations
Education & Training
Engineering
Entertainment & Media
Equipment Sales & Rental
Family Services
Financial institutions & Services
Fitness
Food , Beverage & Restaurants
Forestry & Forestry Products
Funeral & Monuments
Government Services
Graphic Designers & Web Developers
Hair, Esthertics, Serivces & Supplies
Health, Medicine, Dental, Optical, Therapy Supplies & Services
Home & Garden
Individual Membership (must be retired Chamber members, students, teachers or clergy)
Industrial Supplies & Services
Interior Design & Facility Planning
Insurance
Legal/Paralegal Services
Maid Service/Domestic Cleaning
Maintenance Services & Supplies
Manufacturing
Marketing & Sales
Office Supplies & Services
Photography & Studios
Printing, Graphics, Promotional Material & Signs
Public Utliities & Environment
Publishing & Document Services
Real Estate
Religion & Leadership
Research & Development
Retail & Specialty Stores
Safety & Security
Senior Services
Software
Sports & Recreation
Supply & Services
Transportation
Travel, Lodging, & Tourism
Notes:
This form was completed by:
Date:
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Referral
Name of person who referred you to the chamber
Company name of the person who referred you to the chamber
