Bridgewater and Area
CHAMBER OF COMMERCE
220 North Street, Bridgewater, Nova Scotia, B4V 2V6
www.bridgewaterchamber.com bacc@eastlink.ca 902-543-4263
MEMBERSHIP APPLICATION 2009 - 2010
Company Name: _______________________________________________________________
Owner/ Manager: ______________________________________________________________
Type of Business or Industry: ____________________________________________________
Street Address: ________________________________________________________________
Mailing Address: ______________________________________________________________
_____________________________________ Postal Code: _____________________________
Phone: __________________ Fax: ____________________ Cell: _______________________
Email: ________________________________________________________________________
Website: ______________________________________________________________________
Number of Employees: Full Time: __________________ Part Time: ___________________
Designated Representatives for Chamber Communications:
Authorized Signature: __________________________________________________________
Fee Structure
Number of employees |
Dues |
HST |
Total |
1 employee or individual |
50.00 |
6.50 |
56.50 |
2 to 3 |
125.00 |
16.25 |
141.25 |
4-15 |
180.00 |
23.40 |
203.40 |
16-30 |
215.00 |
27.95 |
242.95 |
31-50 |
250.00 |
32.50 |
282.50 |
51 ++ |
285.00 |
37.05 |
322.05 |
Please select the number of employees in your firm and make your cheque for the corresponding amount payable to Bridgewater & Area chamber of Commerce and forward to the address above.
Breakfast Meeting ___________
Luncheon __________________
Late Afternoon ______________
After Work/Evening __________
Seminars _________
Training ____________ What Topics __________
Networking _________
Hosting Political Candidates Forums or Debates ________________
Other (Please add other events you would be interested in attending
___________________________________________________________
___________________________________________________________
Events _______________
Membership and Benefits ________________
Special Events (golf tournament or AGM planning) _________________
Other (Please list) ____________________________________________
Is the plan the one offered by the Chambers of Commerce? ____
For office use only
Date Membership Application Received: ________________________________
Renewal: ________________ New: ____________________________
Date Membership Paid in Full: ________________________________________
Method of Payment: _________________________________________________
Expiry date of Membership: __________________________________________
New members approved between June 1st and November 30 each year must pay a full year membership fee. New members approved between December 1 and February 28 each year must pay one-half the yearly membership fee, this amount to apply to May 31 of that year. Any new members approved on or after March 1 each year must pay a full year’s membership, such fee to apply from date of approval to May 31 of the following year.