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Parksville Chamber of Commerce Membership Application

Business Name(*)
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This name will be displayed in the Member Directory and promotional listings.

Owner Name
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Please enter the business owners full name.

Contact Person
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Name of contact person, if different from Owner Name

Business Address
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Mailing Address
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If different than street address

City/Town
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Province
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Postal Code
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Phone Number(*)
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Please include area code. Example: 250 555-1234

Fax Number
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Please include area code. Example: 250 555-1234

E-Mail Address(*)
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This address will NOT be published on the website.

Web Site
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Business Description
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Description of your business. This will be published in the Member Directory and can be edited at any time.

Promotional Permission(*)

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I hereby give consent for my information to be used on the website, and given out for purposes of promoting business and networking with members and in the community at large.

By-Laws and Terms(*)

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I hereby make application to be admitted as a member of the Parksville & District Chamber of Commerce. I undertake to be governed by the Act of Incorporation, the present and future By-Laws. (By-laws are posted on the Chamber website. Copies are also available from Chamber staff.)

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