Building Business in Cairns - Small Business Resource - Cairns Chamber Member Application Form

Cairns Chamber of Commerce Member Application Form

You have the option to either Download and print our Membership Application Form below and forward the completed form with the relevant payment to the Cairns Chamber office via mail to PO Box 2336, Cairns QLD 4870 or fax to 40310883, or complete and submit your application online.

Cairns Chamber Membership Application Form

From initial receipt of your application and payment you will receive communication from the Chamber office outlining the application process. Your membership application will be submitted to our Management Committee for approval. Once approved you will receive a "New Members Kit", filled with "goodies" personally delivered to you by a Cairns Chamber staff member.


* Business Name
* Trading as
* Type of Business
ABN
* Phone
Fax
* Postal Address
* Business Address
* Website
How did you hear about us
PRIMARY CONTACT DETAILS
* Primary Contact Name
* Primary Contact Position
* Primary Contact Email
* Primary Contact Phone
ACCOUNT CONTACT DETAILS
* Account Contact Name
* Account Contact Position
* Account Contact Email
* Account Contact Phone
ANNUAL MEMBERSHIP FEE
1 to 3 Employees	$200.00
4 to 9 Employees	$285.00
10 to 20 Employees	$345.00
21 plus Employees	$555.00
EMPLOYEE DETAILS
Name 1
Position 1
Email 1
Direct Phone 1
Young Chamber Interest 1	Yes
Name 2
Position 2
Email 2
Direct Phone 2
Young Chamber Interest 2	Yes
Add More Employees
PAYMENT
Mastercard
Visa
Card Number
CVV
Expiry Date
Cardholders Name
Amount
Electronic Funds Transfer	Payable to Cairns Chamber of Commerce
EFT
Cheque	Payable to Cairns Chamber of Commerce
Send Remittances to
DECLARATION
* Declaration
Name
Position
Date
DISCLAIMER
* Disclaimer

Add More Employees

Business Referrals

Building Business in Cairns - Small Business Resource - Cairns Chamber Member Application Form