Member - Cochrane & District Chamber of Commerce

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company 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

Linked In

Twitter

Instagram

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

Fax

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

Fax

Contact Preference

Phone

Address

Address line 1

Address line 2

Country

City

Province

Postal Code

Create Account

Password

Step 5:

Membership Package

Please select a Membership Package

Definition: Active Member

An Active Member is any person who is a resident of, conducts a business within, or is employed with or is designated as the representative of a business conducted in Cochrane and/or the surrounding District. The surrounding Cochrane District means any area within any of: •the municipal limits of the Town of Cochrane •Township 24 Range 5, West of the 5th Meridian •Township 25 Range 3, 4 or 5, West of the 5th Meridian •Township 26 Range 3, 4 or 5, West of the 5th Meridian •Township 27 Range 3, 4 or 5, West of the 5th Meridian; or •Township 28 Range 4 or 5, West of the 5th Meridian *

Active Member with 1 - 4 employees $ 180

Active Member with 5 - 9 employees $ 300

Active Member with 10+ Employees $ 450

Associate Member $ 75

Associate members may be from any area within Canada, outside of the boundaries defined as the Cochrane District above.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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

Payment Option

Your Business Voice.