Individual Details*

*First name:

*Last name:

Employer/
Company name:

Nature of your work:

*Phone (BH):

Phone (AH):

Fax:

Mobile:

*Referred By:

*Email (Work):

Email (Home):

*Password:

Business Details

*Business Name:
Website:
*Postal Address:
*Postal Suburb:
*Postal State:	*Post Code
Physical Address:
Physical Suburb:
Physical State:	Post Code
*Nature of Business:
Other:
No of Employees:

Subscription Options

Individual Membership	@ $60 per annum
This category pertains to the individual rather than the business and is not transferable. The individual will be listed on our website unless Privacy is selected below.
Business Membership	@ $90 per annum
This category pertains to a business and will include one individual, who may be a different person for each activity. The business will be listed on our website unless Privacy is selected below.

Privacy

As a member, your details will be used by the North Sydney Chamber of Commerce in its day-to-day activities including event notification, newsletters and e-letters, surveys, membership listings and business directories.

Our Directory of Members may also be available on our website and accessible by the general public. Some members see this as an additional benefit of membership, providing a marketing tool for their business. For others, this exposure is undesirable. We ask you to indicate your preference and advise that if you do not make a choice in this section your details will be displayed until further notice.

Yes I am willing for my details to be displayed publicly on the North Sydney Chamber of Commerce website

No I am not willing for my details to be displayed publicly on the North Sydney Chamber of Commerce website