128 Brock Street South | Whitby, Ontario | L1N 4J8 | P: 905.668.4506 | F: 905.668.1894 | info@whitbychamber.org
        
 
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Fill in membership inquiry information. Submit the form and a representative from the Whitby Chamber of Commerce will contact you shortly.
 

Member Application:

* Company Name:  
* Phone:  
* Website:
* Email:
* Business Description (200 char max)
* Business Keywords: (enter a space between words)
 
* Physical Address:  
* City/Prov/PC:  
Country:
 
Mailing Address: Same as physical address
City/Prov/PC:
Country:
 
Directory Category:
* Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Social Networking: LinkedIn:
Facebook:
 
* Address: Same as Member Address
* City/Prov/PC:
Country:
 
 

Billing Contact Information:

Same as Primary Contact
* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Social Networking: LinkedIn:
Facebook:
 
* Address: Same as Member Address
* City/Prov/PC:
Country:
 
 
Membership Package:
A:1-4 Employees: $289.00
B: 5-9: $313.00
C: 10-24 : $376.00
D: 25-49: $417.00
E: 50-74: $501.00
F: 75-99: $553.00
G: 100-149: $625.00
H: 150-199: $719.00
I: 200-299: $896.00
J: 300-399: $1,125.00
K: 400-499: $1,343.00
L: 500+: $1,572.00
Plus $1.00 per employee exceeding 600
GOV:: $761.00
Government
NFP: $216.00
Not for Profit
SCHOOL: $157.00
Payment Option:
Charge my credit or debit card
 
 
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