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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?*
Which sub-committee would interest your business the most?*
Events & Projects
Retail
Industrial
Community
Tourism
Membership Options*
New Micro Business - $50.00
Business employing up to 30 staff - $150.00
Business employing above 30 staff - $300.00

Fees payable for
1st July 2020 to 30th June 2021

Payment Options*
Direct Deposit
Cheque

Direct Deposit to -

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

Cheque Payable to -
Bairnsdale Chamber of Commerce
Mail to -
PO Box 398
Bairnsdale VIC 3875

Accept Terms*

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

Name*
Business Name*
Date*
Submit