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Business Name:*

Physical Address:*

City:*

Province:*

Postal Code*

Mailing Address:*

Business Telephone:*

Cell Phone*

Email*

Website

Company Logo:

Accepted file types: jpg, jpeg, png, bmp, gif, Max. file size: 256 MB.

Member Privacy Option*

Does the Chamber of Commerce have your permission to publish your information on our website, business directory or any other medium and given out to the public?

Yes
No

Contact Information

Owner/Manager*

Contact Name (if other than owner/manager):

Title:

Telephone Number:*

Chamber Emails*

Not all Chamber of Commerce information is distributed by email. Would you like to receive Chamber emails?

Yes
No

Business Description

History*

When you started, why are you doing business in Kindersley, is it a family owned business, etc.

Community Support*

Events and sponsorship

Service and Products provided, Hours of Operation*

Certifications, Designations, Partnerships, Other Association Memberships*

Areas of Interest:*

Please tell us how you would be able to help out as a Chamber of Commerce member; Check all that apply.

Board of Directors
Goose Festival
Trade Show
Casual Helper
Other
Would you prefer to meet with a Chamber of Commerce representative to learn more about what the Chamber has to offer?

Other

How did you hear about the Chamber?*

Please tell us how you heard about the Chamber – check all that apply.

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Personal Referral

Name & Company

(if referred please indicate that person’s name for recognition)

Membership and Programs

Please indicate which membership level applies to you and your company. All memberships expire December 31st. Membership fees only will be pro-rated quarterly. Please contact the Chamber office for more information.

The Chamber of Commerce offers various programs for your business to participate in; please refer to your membership package for detailed information. If you do not have a copy, please contact the Chamber office.

Choose One:*

Please select a membership. Explanation of the Membership Packages can be found here.

Corporate Gold Membership - $1,000 + GST
Corporate Silver Membership - $500 + GST
General Bronze Membership - 20+ Employees - $350 + GST
General Bronze Membership - 6 – 19 Employees - $300 + GST
General Bronze Membership - 3 – 5 Employees - $250 + GST
General Bronze Membership - 1 – 2 Employees - $225 + GST
Non-Profit/Charitable/Community Group - $125 + GST
Home-Based Business - $75 + GST

Code of Conduct and Commitment:

As a member of the Kindersley & District Chamber of Commerce, I agree to conduct all business and professional activities in a reputable manner to reflect honorably upon the Kindersley Chamber of Commerce and the District of Kindersley business community.

Name*

Date*

Agreement*

I Agree

Payment

Your application will be processed at the time payment is received. Please select your method of payment. An invoice will be sent to you to collect payment. Membership dues are non-refundable. Your Chamber membership is 100% tax deductible as an operation expense. Membership renewals are due by January 31st of the current membership year.

Total (GST not included)

$ 0.00 CAD

Payment Method*

Become A Chamber Member

2020 Membership Application Form