Membership Application Form

Business Information:

Trading Business Name: *(How you will be known to Shropshire Chamber)

Registered Company Name: (If different to the above)

Main Business Contact:

Business Telephone:

Business Email:

Company Address:

Postcode:

Choose level of Membership (Cost Per Year):

Essentials (£342 + VAT)

Standard (£575 + VAT)

All Inclusive (£950 + VAT)

Your details:

First Name:

Surname:

Position within company:

Your Email:

Your Mobile Number:

Choose payment method:

ChequeMade payable to Shropshire Chamber of Commerce and returned to Trevithick House, Stafford Park 4, Telford, Shropshire, TF3 3BA with completed application

Invoice and BACSPlease use Account Name: Shropshire Chamber Of Commerce, Account Number: 91310984 and Sort Code: 40-41-30.

Credit / Debit cardTo pay by credit / debit card please call 01952 208200 and ask to speak to our finance team who will be happy to take your payment over the telephone

Direct Debit

Confirmation:

I have read and agree to the Terms and Conditions.

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