NORTH & WESTERN LANCASHIRE CHAMBER of COMMERCE & INDUSTRY

APPLICATION FOR MEMBERSHIP

See Order Guide      Join On Line Payment Terms and Conditions

I We   wish to apply for membership of the North & Western Lancashire Chamber of Commerce & Industry and wish to appoint as a contact:


Mandatory Fields are marked in red

Title:

Name in Full:

Position:

Representing: (company name)

Address1

Address2

Address3

Address4

Town

County

Post Code:

Country:

Company Registration No:

VAT No:

Telephone No:

Mobile/Out of hours No:

Fax No:

E-Mail Address: 

Confirm E-Mail Address: 

Web Site Address:

Year Established:

Importer:   Exporter:    

Nature of Business:

Trade Name (if different) 

Name of Parent Company: 

Directory Classification:
(insert your business description)

  • Manufacturer:
  • Distributor:
  • Service:
  • Retailer:
  • Finance:
  • Professions:
  • Other:


Trade Status:

  • Sole Trader:
  • Partnership:
  • Ltd Company:
  • Other:

Trade Address:

Number of Employees:
Part Time:
Full Time:

Are You a member of Lancaster Chamber
 Yes:   No:   

Members Market Place - I wish to offer % discount from the following products and or  services: 

Annual Turnover:

  • £0 - £25,000
  • £25,001 - £50,000
  • £50,001 - £100,000
  • £100,001 - £250,000
  • £250,001 - £500,000
  • £500,001 - £1M
  • £1M - £2M
  • £2M - £5M
  • Over £5M

It has been explained to me us , and I we understand that should

I we wish to terminate membership I we shall serve the required three months notice, in writing, prior to my our next annual subscription falling due.

I am willing to receive Chamber communications via:


  • Post:
  • Fax:
  • E-Mail:

How/where did you hear about the Chamber?

Date:
09/09/2010


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