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Membership Form
Business Information
Company Type
Company
Company Name
Business Name
ABN
Business Address
Street
Country
Australia
State
Queensland (AU)
Zip
Postal Address
Email
Billing Email
Phone
Mobile
Choose one of the following business sectors your would like your business listed under on our member’s directory.
Not for Profit
Employment, Different Abilities Services, and Training
Marketing, advertising, and media
Automotive
Service-Based. Construction and Trade
Professional Services, Consulting Legal, HR. Insurance
Health and wellbeing
Information, Communication, and Technology
Tourism, restaurants, events, and Accommodation
Product-based
Financial Services, Accounting, Banking
Membership Subscription Type:
Individual
Not for Profit ($121)
Solo Trader ($121)
N/A
Business with Employees
1 - 5 ($231)
6 - 20 ($264)
21 -99 (341)
100+ ($451)
N/A
First Person Contact:
Name Representative #1
Email Representative #1
Phone Representative #1
Second Person Contact:
Name Representative #2
Email Representative #2
Phone Representative #2
Is your organisation also a financial member of any of the other organisations detailed below?
GAPDL
GILG
GEA
Would you like to receive more information about hosting a networking event?
Yes
No
Would you like to receive more information about sponsoring the work of the Gladstone Chamber of Commerce and Industry Inc?
Yes
No
What specifically would you like assistance with through the Chamber?
Would you like the completion of this membership form to automatically generate an invoice to be paid through our secure online payment system?
Yes
No
Upload a file of your business logo to be added to our website
Is there any further information you would like to provide us with, comment or enquire ?
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