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Centre Wellington Chamber of Commerce

Membership Application

Thank you for your interest in the Centre Wellington Chamber of Commerce! Please complete all the fields in the form below, or feel free to print off an application form. The form contents will be forwarded to our office staff who will contact you shortly.

View our membership rates

 

Business Information

Business Name

Street Address, R.R.#/P.O.Box No.:

Town:

Postal Code:

Date of Establishment:

Website:

LinkedIn Address:

Facebook Address:

Twitter Address:

No. of Full Time Employees:

No. of Part Time Employees:

Business Square Footage:

Wheelchair Accessible:
No Yes

Contact Information

Main Contact

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

Cell Number:

Toll Free Number:

Email Address:

Additional Contact

Name:

Job Title:

Phone Number:

Fax Number:

Cell Number:

Toll Free Number:

Email Address:

Business Description

 

Yes No   I would like to receive e-mails from the Centre Wellington Chamber of Commerce:
*In order to comply with the new Anti-Spam Legislation, please check if you would like to receive, by e-mail, our weekly chamber updates, monthly Business Blink newsletter, and occasional offers/notices from other CWCC members.

   We officially submit our application for membership with the Centre Wellington Chamber of Commerce
Please note that certain information given in an application will be publicized on the CW Chamber website, as well as the Community Business Directory. This may be changed at any given time. If you have any questions, please contact Roberta Scarrow at 519-843-5140.

 




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