Membership Application

Applicant Details (individual or organisation)

Organisation's Name:
Full Name:
Title/Position:

Physical Address

Address:
City:
State:
Postcode:

Postal Address

Address:
City:
State:
Postcode :

Phone:
Fax:
Mobile:
Email:
Website:
Type of business
Number of employees:

Membership cost varies according to the size of an organisation or type of membership. Please select one from the menu

Payment Method Cheque / Money Order / Bank Deposit Credit Card

Prices are in Australian Dollars

By applying to become a member, I confirm that I have read the Townsville Chamber of Commerce's rules and agree that I will be bound by those rules for the duration of my/my organisation's membership.