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.

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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 *
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/
DD
/
YYYY
ABN
Business Phone number
Mobile
Website
Classification Groups *
Comments
A copy of your responses will be emailed to the address you provided.
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