Member Application

Thank you for your interest in the Humboldt & District Chamber of Commerce. Please complete the following membership application form and a member of our staff will contact you to confirm receipt. When selecting your Membership Package, please base this on the number of employees (including owners) in your company. Count two part-time employees as one employee. Membership Fee is plus GST.
Business Information
Employees: *
Physical Address

Mailing Address

Social Networking:
Primary Contact Information
Contact Preference:

Address

Billing Contact Information
Contact Preference:

Address

Membership Options
Membership Package: *
Payment Option: