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

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Membership Application Form

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