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First Name
*
Last Name
*
Business Name
*
Mailing Address
*
Unit or Suite Number
City
*
Postal Code
*
Telephone Number
*
Fax Number
Email
*
Is the business you represent currently a Guelph Chamber Member?
*
Yes
No
- Select One -
Is the occupation under which you are applying for membership:
*
Full-Time
Part-Time
- Select One -
How did you hear about Guelph Chamber Plus Networks?
Networking Breakfast Meeting
Chamber fax or email
BA5
Newspaper
Word of mouth
- Select One -
Other
Preferred Group
*
Tuesday Breakfast
Thursday Lunch
Tuesday Lunch
- Select One -
Describe your product or service
*
What do you expect to get out of membership in CPN?
Do you belong to other networking/referral/business organizations? If yes, please list:
Application Fee: One-year membership fee ($150 + GST) $157.50 Fees are pro-rated when joining mid term
*
Meals are billed quarterly and are between $10 and $13 depending on the venue.
Cheque (payable to the Guelph Chamber of Commerce)
Cash
Visa
MasterCard
- Select One -
I am willing: to make every effort to attend all meetings or to send a substitute, abide by CPN rules and procedures, bring qualified referrals and visitors
*
I agree
Sponsoring CPN Member