Richmond Hill Chamber Of Commerce
Richmond Hill Chamber Of Commerce
Richmond Hill Chamber Of Commerce Richmond Hill Chamber Of Commerce Richmond Hill Chamber Of Commerce
Richmond Hill Chamber Of Commerce
Richmond Hill Chamber Of Commerce
Friday May 16, 2008 Search Website
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Membership Application Form

Please fill out the following application form.

Fields with asterisks (*) are required.
General Email (Username):
Display Email Address in Directory
* Password:
(Enter the password you would like to use to enter the Members Only area.)
* Company:
Legal Company Name:
* Business Address:
* City:
* Province:
Other Province
* Postal Code:
* Country:
Other Country:
Has Different Mailing Address
Mailing Address:
City:
Province:
Other Province:
Postal Code:
Country:
Other Country:
* Business Phone:  Preferred Format: 905-123-4567
Secondary Phone:
Toll-Free:
Fax Number:
Display Fax Number in Directory
Can Fax at Night
Display Website1 Address in Directory
Website1:
Website2:
Business Start Date:
No Of FullTime Employees:
No Of PartTime Employees:
No Of Seasonal Employees:
No Of Other Employees:
Preferred Information Broadcast Method:
Home Based Business
* Business Types:
SIC Codes (Business Codes):
Membership Type Rate Admin Fee Total GST Total
1-5 Employees 250.00 50.00 15.00 315.00
6-10 Employees 325.00 50.00 18.75 393.75
11-25 Employees 375.00 50.00 21.25 446.25
26-50 Employees 425.00 50.00 23.75 498.75
51-100 Employees 600.00 50.00 32.50 682.50
101-200 Employees 800.00 50.00 42.50 892.50
201-500 Employees 900.00 50.00 47.50 997.50
Over 500 Employees 1000.00 50.00 52.50 1102.50
Non-Profit 200.00 50.00 12.50 262.50
Membership Fee Charged:
$0.00
Note: GST/PST may be applied.
Total Fee Charged:
$0.00
Company Logo:
(Required Size 186 by 118 pixels in gif format)
Member To Member Discount
Member To Member Discount Desc:
Member To Public Discount
Member To Public Discount Desc:
Brief Business Desc:
(10 words or less)
Detail Business Desc:
Reason For Joining:
Referred By:
Contact Information
* Title:  
 Salutation:
* First Name:
* Last Name:
Primary Email:
Secondary Email:
* Direct Phone Line:
Cell Phone:
Fax:
Home Phone:
Pager Number:
Primary Contact:
Preferred Contact Method:
 
Payment Information
Payment Method:
Card Number:
Name On Card:
Expiry Date:
RHCOC
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Richmond Hill Chamber of Commerce
376 Church St. South Richmond Hill, Ontario Canada, L4C 9V8
Tel: (905) 884-1961 Fax: (905) 884-1962
Copyright 2004 Richmond Hill Chamber Of Commerce
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