Membership Form 2023
Sign in to Google to save your progress. Learn more
Email *
What is the name of your business? *
Business Owner(s) Name *
Best person to contact and email if different than above. *
Address *
Phone Number
How would you like us to promote your business? Please select all that apply. *
Facebook Page
Instagram Page
Description of your business. Please make this a paragraph that can be used to describe your business for your featured page on our website. Is there a special product/service you would like to promote? *
Membership Type. Once this form is submitted, you will receive an invoice from the treasurer with details on how to make your payment.
Clear selection
I, agree to adhere to all Merrickville-Wolford & District Chamber of Commerce Bylaws, that I will treat customers respectfully, that I give permission to the Chamber to display my company name and details on the Chamber website. I also agree that the Board of Directors have final say as to approving my application and can revoke my membership at any time, for any reason whatsoever.   *
We appreciate your feedback. Any additional comments:
Clear form
Never submit passwords through Google Forms.
This form was created inside of Merrickville & District Chamber of Commerce. Report Abuse