Membership Application

Membership Form
Mailing Address *
Mailing Address
City
State/Province
Zip/Postal
Country
Physical Address
Physical Address
City
State/Province
Zip/Postal
Country

Membership Application Form - 2019

Early Bird Annual Fee
(Paid before December 1, 2018)
$80
Regular Annual Fee
(Paid after December 1, 2018)
$100
Members are now able to pay their annual membership fees monthly, if they are participating in the Chamber Insurance Plan. Fill out attached form and send it with your application.

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

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.