Membership Application Form 2018-03-25T18:42:12+00:00

Membership Application Form

The fee is $150 per year please note we are not registered for GST

PERSONAL DETAILS

First Name:
Last Name:
Email:

BUSINESS DETAILS

Business Name:
Type of Business:
Business Owners:
Contact person (if different to business owner):
Business Address:
Business Phone Number:

Business Website Address:

ABN:
Number of Employees:

Brief description of your Business:

What was your motivation for joining the Chamber?:

The fee is $150 per year please note we are not registered for GST

If you have chosen to pay by internet bank transfer, the details are as follows:

Glasshouse Country Chamber of Commerce Inc – Bank of Queensland

BSB 124 183

Account Number 22526361

**PLEASE include your business name as a reference when making your payment**

If you have chosen to pay by cheque, you can make the cheque out to:

Glasshouse Country Chamber of Commerce Inc.

Please include your business name in with your cheque so we can cross reference your application with your payment.

You can post your cheque to: PO Box 79, Glasshouse Mountains QLD 4518

To submit your extra information please email it through to info@glasshousecountrychamber.com.au