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To join the Bairnsdale Chamber of Commerce, please fill out the form below, or Click Here to download a printable copy of the form.

Business Name *
Contact Name *
Postal Address *
Street Address *
Email Address *
Website
Mobile Phone *
Business Phone *
Business Type *
Number of Employees
In what ways would you like the chamber to be of service to you and your business? *
Membership Options*
Community - $20.00
New Micro Business - $50.00
Business employing up to 30 staff - $150.00
Business employing above 30 staff - $300.00
Industry Organisations - $350.00
Payment Options*
Direct Deposit

Direct Deposit to -

Bairnsdale Chamber of Commerce
BSB: 633 000
Acc No: 105 179 055
Bendigo Bank

Accept Terms *

I hereby apply for a membership to The Bairnsdale Chamber of Commerce and Industry Inc.

Name *
Business Name *
Date *
Submit