Membership Application Form
Name of Company:
Name of Owner:
What is your reason for joining the Elliot Lake & District Chamber of Commerce?
Form of Business:
Number of Employees:
Company Start Date or Number of Years in Business:
Description (List products and services provided):
Have you ever been a member of the Chamber?
(if yes, when?)
Do you belong to any other associations pertaining to your business?
(if yes, please provide the names of the associations)
Would you like more information on the Chamber's Group Insurance Plan?
Would you like to offer a member to member discount?
(if yes, please provide details)
Would you be interested in advertising in Business Matters?
Would you or one of your representatives be interested in participating on a Chamber Committee?
Only enter the 3
Elliot Lake & District Chamber of Commerce
Elliot Lake, ON