Whitby Chamber of Commerce -- Welcome!!

First Name: *	Last Name: *
Company Name: * (N/A if not applicable)	E-Mail Address: * (In case we need to reply)

Why are you using this form? * (Check all that apply)
Requesting Information	Thinking of Joining

What information would you like to be sent? (Check all that apply)
Membership Kit	Relocation Kit
The following items are components of the two Kits. If one or both of the above Kits are selected, some or all of the following items may not be selectable.
Member Directory	Relocation Guide
"Business Connects"	Chamber Home & Auto Insurance
Chamber Group Insurance	Map of Whitby
Advertising Rate Sheet	Membership Application
If you would like a Membership Kit, then we need to know the following: Number of Full-Time Employees Number of Part-Time Employees

Address Line #1:	Telephone Number: - -
Address Line #2:	Fax Number: - -
City: *	Province/State: *
Postal/Zip Code: *	Country: *
Enter questions or comments here.

The Whitby Chamber of Commerce - Where Business Connects

Proud Member Of:

The Canadian Chamber Of Commerce	The Ontario Chamber Of Commerce
© The Whitby Chamber Of Commerce

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