Chamber Alliance Program
 Membership Opt-in
 Local Chamber Member Details
 Your Local Chamber 
 Business Name (Applicant)* 
 ACN/ABN 
 Street Address
 Line 1*
Line 2 
Line 3 
 Suburb*
State 
Postcode* 
 Postal Address
Same as Street Address
 Line 1
Line 2 
Line 3 
 Suburb
State 
Postcode 
 Other Details
 Direct telephone*
Direct Fax 
 Website
 Number of Employees*
Industry*
 Primary Contact Person
First name* 
Surname* 
 Job Title
Same as Company (Telephone & Fax)
 Direct telephone
Direct Fax 
 Mobile
Email* 

 NSW Business Chamber membership declaration

 I am not a member of the NSW Business Chamber
 I am already a member of the NSW Business Chamber .

 I, being the Applicant (or authorised by the Applicant) hereby apply for the Local Chamber Limited Membership of NSW Business Chamber ("NSWBC") as part of the Alliance with our Local Chamber (referred to above), and agree to be bound by the NSWBC constitution and terms and conditions as amended from time to time and available on the NSWBC website at www.nswbusinesschamber.com.au/termsandconditions.

I acknowledge and agree that our NSWBC membership benefits and entitlements are as set out in the Schedule to this application. I understand and agree that our membership of the NSWBC is for a period of 12 months and the renewal of our membership for further periods of 12 months each is subject to our Local Chamber renewing the Local Chamber Alliance Agreement with NSWBC each year and our business continuing to be a member of our Local Chamber. I understand and agree that our NSWBC membership benefits and entitlements may vary by agreement between the NSWBC and our Local Chamber.

Opt In Date:
Please contact us on 13 26 96 for further queries.

LOCAL CHAMBER LIMITED MEMBERSHIP PACKAGE
Schedule of benefits available to Local Chamber Members: