Online Membership Application Form

Please complete all fields.
Company Name:
Postal Address: 
Street Address:
Telephone:
Facsimile:
Company Email:
Website Address:
Main Contact:
Prefix: Title:
First Name: Surname:
Mobile Phone: Office Phone:
Contact email address:

Tick the one section relating to your business:
Persons Engaged
in Enterprise		 Subs Joining Fee (One time only) GST Total
1 - 2 full time staff $205.00 $35.00 $30.00 $270.00
2 - 5 full time staff $315.00 $35.00 $43.75 $393.75
6 - 14 full time staff $400.00 $35.00 $54.37 $489.37
15 - 49 full time staff $535.00 $35.00 $71.25 $641.25
50+ full time staff $705.00 $35.00 $92.50 $832.50

Business  Description:

This Information will be Submitted to our Online membership Database 
at www.tauranga.org.nz Please make it 30 words or less.

 

 

Business  Categories:
Category 1 
Category 2 

Payment Details:
  Cheque
Make payable to : Chamber of Commerce Tauranga Region
 
  OR - All major Credit Cards are accepted. Please Contact the Membership Team at the Chamber during business hours to
use this payment type.
Personal Details:
Name:
 Date:
Title: