The Wairarapa Chamber of Commerce, supporting the local business community

Innovate Chamber Membership Form
Please fill in the form below to submit your Membership Application, thank you!
First Name/Last Name * *
Business Name
Position
Email Address *
Confirm Email Address *
Phone

Mobile Gender  
Address
Street
Suburb
City
State
Country  * Post Code
 
Postal Address
Address Line 1:
Address Line 2:
Town / City:
Post Code:

Business Description
Personal Profile: (a quick breif about yourself, hobbies, profession, qualifications etc)
Tick one box relating to your membership (GST inclusive): *
Payment Method: *

 

* Special Group Discounted Membership; offer expires 30th June 2010. Membership fee will then be converted back to standard fees. All 3 members membership fees and applications must be recieved within 7 working days for offer to be actioned. Please contact the office for more information.

We may provide your details to certain parties to ensure you gain full benefits from membership offers and business training opportunities. Your details will not be divulged to any third parties for any other purpose without your consent. As provided by the Privacy Act 1993, please advise if you wish your details to remain private.

 In becoming a member of the Wairarapa 'Innovate' Chamber of Commerce I agree that:

  1. This agreement does not have an expiry date written into it
  2. Membership subscriptions are payable annually, with the first payment due upon signing
  3. Subsequent annual subscriptions are payable 20th of the month following invoice
  4. The minimum membership term is one year
  5. Membership can be resigned in writing, within one month of receipt of the annual subscription notice. Resignations received outside of this time will be subject to a pro rata adjustment to subscription.
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