Membership

Online Membership Application and Payment

Please fill in the following requested details. Payment can be made via credit or Paypal account. All credit card transactions are processed in a secure environment by Paypal itself.
Full Name (*)
Please type your full name.
Business Name (*)
Invalid Input
Business Type (*)
Please specify your position in the company
ABN Number (*)
Invalid Input
How should we contact you?
Business Address (*)
Invalid Input
Postal Address
Invalid Input
Same as Business Address?
Invalid Input
Number of Employees (*)
Please tell us how big is your company.
E-mail (*)
Invalid email address.
Telephone
Invalid Input
Mobile
Invalid Input
Fax
Invalid Input
Description of Business Operations
Invalid Input
Permission to be included in our database
Invalid Input

Please select a Membership Plan
Membership Type (*)





Invalid Input
Total AU$ 0.00 AUD
Please Type the Following Please Type the Following
Invalid Input
  

We also accept payment via Cheque, Direct deposit or offline Credit Card:

Our direct Deposit Payment Details for membership are:

Bank:

ANZ Mandurah

BSB:

016-745

Account #:

1102 73755

Name of Account:

Peel Chamber of Commerce & Industry

If paying via Direct Deposit, please email admin@peelcci.com.au and let us know when you have deposited funds.

All applications for membership are submitted to the Peel Chamber of Commerce & Industry Executive Committee for ratification and acceptance. Acceptance is at the discretion of the Executive Committee
<      >
SuMoTuWeThFrSa
   1234
567891011
12131415161718
19202122232425
26272829   
© 2010 Peel CCI