Member Application

Your Privacy is valued. The information provided will only be used to communicate with your business. It will not be sold or divulged to any other party. Please direct questions to 306-764-6222.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

Province *

Please add your Province.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

Province *

Please add your Province.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

YouTube

Twitter

Instagram

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Chamber Plan Insurance

Are you interested in an ESSO Card

Are you interested in volunteering at our events

The Prince Albert & District Chamber Of Commerce Uses A Number Of Electronic Formats To Send Important Communications To Our Members. Our Email Messages Include Notices, Event Invitations And Electronic Newsletters. As Part Of Canada?s New Anti-Spam Legislation (CASL) Governing Electronic Communications, We Now Require Your Consent In Order To Send Electronic Messages On Behalf Of The Prince Albert & District Chamber Of Commerce. (Type YES to consent) *

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Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

Province *

Please add your Province.

Postal Code *

Please add your Postal Code.

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Contact Preference

Phone

Address

Address line 1

Address line 2

Country

City

Province

Postal Code

Create Account

Password

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Create Account

Step 5:

Membership Package

Additional Options:

Payment Option