West Hants Chamber of Commerce - Application Form

Box 2188, Windsor, Nova Scotia, B0N 2T0
web site: www.whcc.ca email:  info@whcc.ca

Company Name:

Full Name & Title of Voting Representative:

 

Full Company Mailing Address:

 

Full Company Street Address (if applicable):

 

Brief description of your company's products or services:

 

Detail any discounts you wish to offer to fellow WHCC members:

Contact Info:

Business Phone: Fax: Cellular:
     
Email address:  
Web site address:  

Do you wish your company information to be included in our on-line directory? ______  Yes      ______ No

Click to review the WHCC Privacy Policy in PDF format - Privacy.pdf

Fees - $50.00 + 15% tax = $57.50 per year

Date: _____________________  Signature: _________________________________________

Please make cheque or money order payable to: West Hants Chamber of Commerce

HST # 1082-15047-RT0001

To print, click on File, Print, to return to main WHCC site, click "X" in upper right corner...