Canadian Australian Chamber of Commerce -- Membership Application Form

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Membership Application Form

Sign up for your free membership in the Canadian Australian Chamber of Commerce. This form tells us about you and how you can support the Chamber mission.

Your Details

* Salutation

* First Name

* Last Name

Position

* Contact Email

* Work Phone

Work Fax

Mobile/Cell Phone

Organization Details

* Organization Name

Business Website

* Address Line 1

Address Line 2

Address Line 3

* Town/City

* State/Province

* Postal Code

* What is your interest in the Chamber and its mission?

* How can you support the Chamber mission (Check all that apply)?

Provide business intelligence on the marketplace

Support offshore inquiries within your industry

Notify the Chamber of new trade/investment opportunities

Provide updates on relevant programs, services and events

Support research and development projects

Organise a chamber event

Provide volunteers to Chamber projects

Financial Sponsorship of the CACC

Provide corporate facilities for Chamber events and meetings

Other:

* Industry (tick all that apply)
Accounting / Auditors	Aerospace & Defence
Automobiles & Auto Parts	Banking
Biotechnology	Construction
Consumer Services	Energy
Environmental Industries	Financial Services
Food & Beverage	Government
Healthcare	Household & Personal Products
Human Resources Services	Insurance
Legal Services	Management Consultants
Manufacturing	Marketing
Media	Mining
Other	Pharmaceuticals
Real Estate	Retail
Software & Services	Technology Hardware
Telecommunications	Textiles, Clothing, Shoes
Transportation/Movers	Travel & Hospitality
Utilities
Others:

Have your participated in business activities between Australia and Canada?

Yes, details: No

How did you find out about the Canadian Australian Chamber of Commerce?

Print publication, specify:

Internet search, specify:

Web site, specify:

Word of mouth, specify:

Other, specify:

By submitting this form, I certify the information is correct and consent to the Canadian Australian Chamber of Commerce using this information for the purposes of its mission, and in accordance with the guidelines set out below and in the Chamber Privacy Policy. As the Chamber operates primarily through external volunteers and contracted administrative service providers, this information will be accessible to such of those persons having a need to know / use that information in conjunction with the operations of the Chamber (eg sending you information by email or post, seeking your consent to be contacted by a third party etc). Except as mentioned here, the Chamber will not distribute this information externally without your knowledge or consent. At all times, the Chamber reserves the right to register , or decline to register, members at its absolute discretion. I consent to the Chamber sending me newsletters, invitations and other communications (electronic or otherwise) relevant to the Chamber's mission.
Do you agree to these terms and conditions?	Yes No

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