Full Name of Member, Business or Organisation *

First Name

Last Name

Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Postal Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Hunter Business Chamber Alliance Program *

Complimentary membership to the Hunter Business Chamber will only be offered to our Chamber members. For the Chamber and its members to be part of this Alliance Program, we have to have a minimum of 70% of financial members accept this offer.

Please register me as a complimentary member

I will register with the Hunter Business Chamber myself

I'm already a member of the Hunter Business Chamber

Dungog Regional Tourism Inc.

Please tick if you want to take up complimentary membership of Dungog Regional Tourism Inc. (only available to DDCC members). You should also complete a DRT Membership Application which you can request at membership@drt.org.au or get at www.drt.org.au

Yes

Already a member

No

Annual Subscriptions *

Ordinary Member (first business) $110.00

Ordinary Member (subsequent businesses) $55.00

Not for Profit, Community Groups $55.00

Membership payment made by: *

Cheque

Direct Deposit

Authorisation for use of information: *

I authorise the Dungog District Chamber of Commerce to use the information contained in this form to administer my membership in accordance with the privacy policy