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Shoalhaven Business Chamber Membership Application

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					SHOALHAVEN BUSINESS CHAMBER MEMBERSHIP APPLICATION

Business Name                   .............................................................
Contact Name                    .........................................................................

Address             .........................................................................

E-mail                          ..................... ....................................................

Telephone Number                ....................... ....                              Mobile . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fax Number                      ....................... ....                              NB Correspondence is by email unless specified otherwise.

You can list email addresses for two other contacts within this business who would like to receive meeting notifications:

..................... ..........................                                      ........................................... ...

Membership Options - Tick one of the following options
 1-10 Employees  11-40 Employees  40+ Employees  Association /Incorporated Body / Reg. Charity
$198.00 incl. GST             $286.00 incl. GST                 $363.00 incl. GST               $121.00 incl. GST

    Please tick to Opt-in to the Local Chamber Alliance (Details on the back of this form)
Sponsorship Options

         Sliver Sponsorship (6) - from $ 1,100.00                                     Gold Sponsorship (2)                       Platinum Partner (1)

              Full details of these sponsorship packages can be found at the Shoalhaven Business Chamber Website
Core Business
Please tick which best describes your business and then specify eg. Retail, Florist

     Retail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     Employment & Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
     Professional . . . . . . . . . . . . . . . . . . . . . . . . . . . .       Industry/Manufacturing             ...........................
     Sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    Financial Institution/ Advisor . . . . . . . . . . . . . . . . . . . . . . . . . . .
     Trade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    Building/Construction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
     Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    Hospitality/Tourism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Confidential Information for SBC purposes only. Information will not be disclosed to a third party

             < $ 500K                   $ 500K - $ 1M  $ 1M - $5M                                          $ 5M - $ 10M                      > $ 10M
                   Number of employees: Fulltime: ______ Part time: ______ Casual: ______

Privacy             Do you agree to your business name and contact details being included in a member’s directory?
                     Yes                   No
Payment         Credit Card Number: ______ ______ ______ ______                                             Exp ____ / ____               $__________
                Cheque enclosed
                Electronic transfer BSB: 082 762 ACC: 863 469 947                                          Include Business name as reference
         Please return form with payment to the Chamber Office by post, fax or email including payment option


Signature of Authorised person:                         ________________________________________


                                     Shoalhaven Business Chamber Inc. PO Box 361 Nowra NSW 2541
    T 02 4423 3582         F 02 4421 5152   E admin@shoalhavenbusiness.com.au         W www.shoalhavenbusinesschamber.com.au
                                              Version 2, Revised date - 21 September 2010
                                            LOCAL CHAMBER ALLIANCE



The whole is greater than the sum of its parts
Welcome to the united chamber movement

Across NSW local chambers of commerce and NSW / Illawarra Business Chamber are uniting, to provide local chamber members with
a range of benefits unsurpassed by any other business support organisation.

Maximise your business potential

Illawarra Business Chamber and Shoalhaven Business Chamber have partnered together to provide you with more membership
benefits and greater access to information, services and advice.

How do I benefit?

You continue to access all the great benefits of your membership with Shoalhaven Business Chamber, such local networking,
business connections and influence with local government and community groups.

But additionally, you also become a member of Illawarra Business Chamber at no cost to your business, gaining access a range of
services from Illawarra Business Chamber on top of your local chamber benefits, including:



     Illawarra Business Chamber
                                               Cost for local Chamber members         VALUE
     Membership entitlement

     Workplace Advice Line
                                               Included in package                    150.00
     – 3 consultations

     Business Vitality Express Check –
                                               Included in package                    450.00
     online business health check

     Corporate Governance Toolkit              Included in package                    300.00

     ‘How to’ business guides
                                               Included in package                    99.00
     – Unlimited

     Business Connect magazine and e-
                                               Included in package                    94.00
     news

                                               Cost of membership                     Value of benefits

                                               $0                                     $ 1093




                                   Shoalhaven Business Chamber Inc. PO Box 361 Nowra NSW 2541
    T 02 4423 3582       F 02 4421 5152   E admin@shoalhavenbusiness.com.au         W www.shoalhavenbusinesschamber.com.au
                                            Version 2, Revised date - 21 September 2010

				
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