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Membership Application

*Application Type:	New Application Renewal
Details:
*Email address:
*Company Name:
Business Address:
Postal Address:
*Contact Name:
Position:
Telephone:
Fax:
Mobile:
Description of your business for the Chamber Directory

Topics of particular interest to your business
Local government State government Federal government Local business tours Taxation Employment Marketing Finance Legal Social functions Community issues Other (please detail below)

Membership Agreement
I desire to become a member of the Ringwood Chamber of Commerce and Industry Inc. In the event of my admission as a member, I agree to be bound by the rules of the Chamber for the time being in force. I also authorise the Chamber to publish the contents of this application in their directory of members and understand this information is available to other members and may be distributed publicly.
Agree Disagree
*Payment may be made by either cheque or Direct Deposit.
I will send a cheque/Money order for $50.00 to PO Box 62, Ringwood 3134 I have organised a direct deposit of $50.00 into Account No. 013-414 866 6384 (ANZ Bank, Ringwood)