Member Form | Carleton Place & District Chamber of Commerce

Company Name

Address

Street Address Address Line 2 City Province Postal Code

Main Phone

Alternate Phone

Fax

Email

Website

Facebook

Twitter

Instagram

Google+

Other

Name

First Last

Email

Type of Business

Description of business to be used for your public company profile on our business directory

Years in Business

Owner Name

Number of Employees (Including Owners)

Mailing Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Method of Contact

Please state your reason for joining the Carleton Place Chamber

What are the top three Chamber offerings you consider to be of most value to you/your business?

I would like to participate on the following committees/events

Member to Member (M2M) Discount Program

Yes
Not at this time
Unsure

If you answered YES, please provide details of your discount/offer below

By checking this box you agree to receive Chamber news, messages, notices and any other information that the Chamber deems important to its members via email or through a personal telephone call. If you do not wish to receive our emailed material, there is an unsubscribe link at the bottom of the email.*

I Agree

Please enter extra emails if they would like to be included in our mailing list

The mandate of the Carleton Place and District Chamber of Commerce is to facilitate contact between its members. In order to do this, the Chamber will publish your business information on its website. The Chamber will also share your contact information with other Chamber members and Chamber special discount sponsors. By checking this box you agree to these terms*

I Agree