Member Application

Welcome to the Okotoks & District Chamber of Commerce

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

CASL: *

Physical Address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Membership Options

Membership Package: *

Non Profit: $115.00
Not for Profit Clubs 1 EMPLOYEE: $175.00
Sole Proprieter - Home Based Business Small Business: $230.00
2-6 employees Med Size Business: $287.50
7-12 Employees Large Size Business: $345.00
13+ Employees

Payment Option:

Charge my credit or debit card

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