Membership Application

Membership Form
Mailing Address (Town Postal Code) *
Mailing Address (Town Postal Code)
City
State/Province
Zip/Postal
Country
Physical Address
Physical Address
City
State/Province
Zip/Postal
Country

Membership Fee Schedule - 2020

Annual Fee
(Due by January 1, 2020)
$100
Annual Fee if Monthly Payment Plan
(Chamber Group Benefits members only)
$120
**Note: Members must participate in the Chamber Group Insurance Plan in order to have the option of monthly payments.

Payable by Email Interac, cheque (Payable to: Blackfalds & District Chamber of Commerce), MasterCard, or Visa. Please send payment with completed application.
PAYMENT OPTIONS:

  1. etransfer Email
  2. yourblackfaldschamber@outlook.com
  3. Cheque Payable to Blackfalds & District Chamber of Commerce
  4. MasterCard or Visa – Phone (403)506-6735
Check the box that are appropriate
This Information is collected under the authority of the Freedom of Information and Protection of Privacy Act. In addition, business contact information including individual’s contact name, address, telephone # and email address may be disclosed by the Chamber upon request unless it reveals personal or third party information.

Members must pay their fee no later than 60 days after the due date before they are removed from active membership status.