Membership Application

Date:   ____________________________ Business Name:  __________________________________ Contact Person:  ____________________________________________________ Address:  ___________________________________________________________ Postal Code:  ________________ Phone No:  ________________________________ Fax No:  _____________________ E-mail Address:  ___________________________ Website:  ___________________________________________ Type of business, product or service: ________________________________________________ Number of years in business:  ______________ Number of years at this location:  ____________ Number of employees:  1-5       6-12       13-25       over 25   Would you be willing to volunteer on a committee to assist with organizing activities or events?  Yes     No   If yes, please indicate the month(s) that best suit your schedule

Annual Dues
$100.00/year

Please return application with your cheque payable to Oro-Medonte Chamber of Commerce, 148 Line 7 S., Box 100, Oro, ON L0L 2X0