Member - The Chatham-Kent Chamber of Commerce

Member Application

Thank-you for your interest in the Chatham-Kent Chamber of Commerce, please fill out the following membership application form. Please note membership investment is based on the number of people in the business including owners/partners/employees, etc. Part-time employees are calculated at 50% of the full-time rate. If you wish to speak to a Chamber representative about the membership benefits or about your membership investment please contact info@chatham-kentchamber.ca or (519) 352-7540

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

Province:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook Instagram Twitter YouTube

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Print Application

Chatham-Kent Chamber of Commerce

Welcome to our newest members!