Name of Business
ABN
Represented By
Preferred Business Address
ANZIC Code Accommodation and Food ServicesAdministrative and Support ServicesAgriculture, Forestry and FishingArts and Recreation ServicesConstructionEducation and TrainingElectricity, Gase, Water and Waste ServicesFinancial and Insurance ServicesHealth Care and Social AssistanceInformation Media and TelecommunicationsManufacturingMiningOther ServicesProfessional, Scientific and Technical ServicesPublic Administration and SafetyRental, Hiring and Real Estate ServicesRetail TradeTransport, Postal and WarehousingWholesale Trade
Business Phone Number
Facsimile
Number Of Employees
Mobile Number
Email
Website(URL)
Postal Address
Post Code
Description of Activities
By selecting a Membership type you are agreeing to the following.
I/We hereby apply to become a member of the Shepparton Chamber of Commerce.
In the event of my admission as a member, I agree to be bound by the rules of the association.
I agree to the provision of my particulars to external organisations where deemed appropriate by the Shepparton Chamber of Commerce Inc.
I elect to become a member of the Shepparton Chamber of Commerce and acknowledge that membership will be valid for a period of 12 months.
Your Membership commences on the date of first payment (“Commencement Date”) and continues for a period of 12 months from the Commencement Date (“Expiration Date”).
By completing this transaction, you acknowledge that you are purchasing a membership to the Greater Shepparton Chamber of Commerce and Industry and agree to be bound by the Terms and Conditions You acknowledge that you are purchasing a membership to the Victorian Chamber of Commerce and Industry and agree to be bound by the Terms and Conditions (including the Privacy Policy)
-- Choose your Membership and Payment option --General Membership - $30/Month +GSTGeneral Membership - $330/Year +GSTSilver Membership - $1000 +GSTGold Membership - $1800 +GSTPlatinum Membership - $3000 +GSTBusiness Award Sponsor - $10,000 +GST
Please Print Your Name
Date Signed
*Paying via monthly direct debit instalments
The Shepparton Chamber of Commerce & Industry offers members the option to pay their membership fee via monthly direct debit instalments from their nominated account. This facility is offered to all members at no additional cost.
A direct debit instalment plan will be sent to your nominated email address for completion upon selection and payment of the first monthly payment.
Note: You will be redirected to our secure payment page once you click the above Pay Now button, where you can pay with your credit card.
Please note that the applicable GST will be added to the final amount at the time of payment.
