MEMBERSHIP APPLICATION FORM

On behalf of my business, I wish to enroll as a member of the Greater Bathurst Chamber of Commerce.     I agree that the Chamber needs the support of businesses in the greater Bathurst area, working to promote the area as a location for sound business development and to encourage greater recognition and appreciation of the community’s strengths and assets.  The Chamber will also develop, propose and implement programs to promote the region as a growing dynamic community.

Fee structure

Dues are based on the number of employees (including owners, managers, etc.) per firm during the preceding 12 months.  Please accompany payment with this application.

BUSINESS INFORMATION:

Name:					Tel:
Address:			Postal Code:		Fax:
Email:			Website:
Type of business/service:
Number of years in business:		Years in Bathurst Region:		Years elsewhere:
Total number of employees:	Full time:		Name of Manager:
	Part time:		Name of owner:
Referred by:  please indicate name of person and company
Date:			Signature:

FEE SCHEDULE FOR MEMBERS:                    (New members - Registration fee $20)

Number of employees	(√)	Membership fees	Participation in activities	Yes. I am  interested  (√)
1 to 5		150.00 + HST = 169.50	Annual Banquet
6 to 10		193.34 + HST = 218.47	Economic Development
11 to 25		246.90 + HST = 279.00	Golf Tournament
26 to 50		334.45 + HST = 377.93	Government Relations
51 to 100		512.42 + HST = 579.03	Special Events
101 to 500		790.37 + HST = 893.12	Transportation Committee
501 and over		935.71 + HST = 1057.35	Membership Drive
Retirees		65.00 + HST =  73.45	Communication
Governments: Provincial and Federal		150.00 + HST = 169.50	Other :
Not for profit organization		150.00 + HST = 169.50

Please return, with check, to:                Greater Bathurst Chamber of Commerce

725 College Street    CEI Building

Bathurst, NB     E2A 4B9

Tel:  (506) 548-8498           Fax:  (506) 548-2200

                                                                    Email: [email protected]