Application Form - Redruth & District Chamber of Commerce

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Application Form - Redruth & District Chamber of Commerce
Redruth & District Chamber of Commerce
President: Councillor Nuno de Freitas
http://redruthchamber.co.uk
APPLICATION FOR MEMBERSHIP 2015/16
I, the undersigned, hereby apply for membership of the Redruth and District Chamber of
Commerce, and if accepted, I agree to comply with its rules.
Date…………………………………….
Signed…………………………….………………
1.
Full name (block letters …………………………………………………………………..
2.
Nature of Business
……………………………………………………………………
Name of Business
…………………………………………………………………….
3.
Position in Business………………………………………………………………………..
(e.g. proprietor, partner, director, manager etc)
Business address………………………………………………………………………….
4.
Private address ……………………………………………………………………………
5.
Telephone (day)…………………………… (evening)…………………………………
6.
Email ……………………………………………………………………………………….
7.
Website …………………………………………………………………………………….
Completion of this form in no way
binds the Chamber to admit the
applicant to membership, and the
Chamber shall not be requested or
required to give any reason or
explanation as to why admission
has been refused.
FOR OFFICE USE
Initials………….
Date Received ……………………………….
Approved ……………………………………..
Fees paid until ………………………………..
STO Mandate received………………………
Date passed to bank …………………………
Please send your completed form, together with a cheque for your first year’s fee of £30 made payable to
Redruth and District Chamber of Commerce, to:
Richard Monk, Redruth Chamber, Pool Innovation Centre, Trevenson Road, Pool, Redruth, Cornwall, TR15 3PL
st
st
Fees are payable annually from 1 April to 31 March. Members joining at other times of the year pay pro-rata
at £3 per month, and £30 annually thereafter by standing order (subject to annual review). This fee is
refundable in the unlikely event of your application being refused.
If you do not wish your contact details to be circulated amongst other Chamber members, please advise us.
You are also welcome to attend a meeting prior to joining. Meetings are normally held at 7.30 pm on the second
Wednesday of each month. Enquires to:
President Councillor Nuno de Freitas, 07454 021655; email. [email protected]
Chamber application – last updated 14.05.2015