Pointe au Baril Chamber of Commerce membership application

Name of Business: ____________________________________________________

Location: ___________________________________________________________

Mailing Address: _____________________________________________________

Town: _____________________________________________________________

Postal Code: ________________________________________________________

Telephone Number: ___________________________________________________

Fax: _______________________________________________________________

Toll Free Number: ____________________________________________________

No. of Employees (peak season): ________________________________________

Email: _____________________________________________________________

Website: ___________________________________________________________

Owner: ____________________________________________________________

Contact Person: _____________________________________________________

Type of Business: ____________________________________________________

Referred By: ________________________________________________________

Signature: __________________________________________________________

Date: ______________________________________________________________

Preferred Method of Receiving Correspondence?:
Email: _________

Fax: ________

Regular Mail: _________

Join by printing this form, completing it, then sending it,
along with your payment to:
Pointe au Baril Chamber of Commerce Box 67, Pointe au Baril, Ontario, Canada, P0G 1K0

OR drop this completed form off at the information booth.

	Membership Application Name of Business: ____________________________________________________ Location: ___________________________________________________________ Mailing Address: _____________________________________________________ Town: _____________________________________________________________ Postal Code: ________________________________________________________ Telephone Number: ___________________________________________________ Fax: _______________________________________________________________ Toll Free Number: ____________________________________________________ No. of Employees (peak season): ________________________________________ Email: _____________________________________________________________ Website: ___________________________________________________________ Owner: ____________________________________________________________ Contact Person: _____________________________________________________ Type of Business: ____________________________________________________ Referred By: ________________________________________________________ Signature: __________________________________________________________ Date: ______________________________________________________________ Preferred Method of Receiving Correspondence?: Email: _________ Fax: ________ Regular Mail: _________ Join by printing this form, completing it, then sending it, along with your payment to: Pointe au Baril Chamber of Commerce Box 67, Pointe au Baril, Ontario, Canada, P0G 1K0 OR drop this completed form off at the information booth.