Application - Exploits Chamber of Commerce

Looking to register your business as a member of the Exploits Chamber of Commerce? Easily fill out the form below with business details and we will be in touch regarding application and invoicing. Thank you for your interest.

Chamber Membership Application Form

Business Name

Owner / Manager

Type of Business

Address

Postal Code

Telephone

Fax

Message

Number of Years in Business

Number of Years in Business (In Exploits Region)

Number of Employees (Full Time)

Number of Employees (Part Time)

Names of Designated Representatives to be placed on Chamber Mailing List (with email address)

Fee Structure

Number of Permanent Employees	Dues	HST	Total	Number of Reps
1-9	$159.00	$23.85	$182.85	1
10+	$250.00	$37.50	$287.50	2

Municipalities (Number of Residents)	Dues	HST	Total
<1000	$170.00	$25.50	$195.50
1000-5000	$250.00	$37.50	$287.50
>5000	$420.00	$60.00	$480.00