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 Application for Membership
 

 
 

Business Details

 
  Name of Business:  
  Full Address:  
  Postcode:  
  Tel No:  
  Fax No:  
  Mobile No:  
  Email Address:  
  Website:   www.
  Description of Business:  
  SIC code (if known):  
  Membership Data: All information provided on this form will be treated confidentially. Cumbria Chamber of Commerce does not pass on or sell its data to third parties other than project funders (where you are participating in a specific project) or partners providing services to or on behalf of the Chamber. If you do not wish to be contacted by Chamber service providers or have your details included on the Chamber website please tick the appropriate box:

I do not wish to be contacted by Chamber service providers

I do not wish my details to be included on the Chamber website
 

Primary Contact Details

 
   Title:    Please state other: 
  First Name:  
  Surname:  
  Position in Company:  
  Mobile no:  
  Email Address:  
  Date business started:  
  MEMBERSHIP SUBSCRIPTION RATES    
         
  Number of Employees:
  Select subscription rate: Individual/sole trader
£100.00
  Registered charities
£150.00
  2-9
£150.00
  10-24
£200.00
  25-99
£300.00
  100-249
£400.00
  250-499
£550.00
  500+
£700.00
All prices exclude VAT
  My method of payment is:      
  Cheque
 
  Direct Debit
 
  Credit Card
 
  Please make all cheques payable to Cumbria Chamber of Commerce & return this form to: Membership Services, Cumbria Chamber of Commerce, 3rd Floor Broadacre House, 16 - 20 Lowther Street, Carlisle, Cumbria CA3 8DA
  

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