Member Application Form

Thank you for choosing to be a valued member of the Mount Gambier Chamber of Commerce. Your decision to join our community demonstrates your commitment to the growth and success of your business, as well as your dedication to fostering a vibrant local economy.

Sign in to Google to save your progress. Learn more
Email *
Business email *
Business Name *
Contact Name (First Name) *
Contact Name (Surname)
 *
Business Address *
Town, State, Post Code *
Postal Address *
Town, State, Post Code
 *
Type of Business/Industry *
Date Business Began *
MM
/
DD
/
YYYY
ABN
Business Phone number
Mobile
Website
Classification Groups *
If you could make time for one training session or workshop to go to this year, what would the topic be?
*
Rank these events from 1 to 5 in the order you are most likely to attend (1 being the most likely)
 *
1
2
3
4
5
After hours networking event
Hour of Power business lunch
Small group workshop
All day skills summit
Business breakfast
How could the Chamber assist in promoting your business?
 *
Required
Comments
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of mountgambierchamber.com.au. Report Abuse
Google Forms