Membership Application

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

Owner Name
Please enter the business owners full name.

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

Business Address

Mailing Address
If different than street address

City/Town

Province

Postal Code

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

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

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This address will NOT be published on the website.

Web Site

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

Promotional Permission
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.

I Agree

By-Laws and Terms
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.)

I Agree

or Reset

Related Info

2010 Membership Fee Schedule

Benefits of Membership

Membership Application

Related Info

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