(Annual Subscription) /
Date Membership #
Company NameTrading Name
Contact Name / Position
Contact Name(2) / Position
Physical Address
Postal Address
Postal Code
Phone / ( ) / Fax / ( )
Mobile Phone / ( ) / No. of Employees
Email Address
Email Address(2)
Website
Staff Numbers / Annual Investment / BA5 Limits
Start-up Business- Introduction / $180.00 + GST = $207.00 / 1 Attendee at BA5
1-5 / $225.00 + GST = $258.75 / 2 Attendee at BA5
6-10 / $310.00 + GST = $356.50 / 3 Attendees at BA5
11-20 / $385.00 + GST = $442.75 / 4 Attendees at BA5
21-40 / $460.00 + GST = $529.00 / 5 Attendees at BA5
40 + / $599.00 + GST = $688.85 / 6 Attendees at BA5
+ BARA
(additional) / $150.00 + GST = $172.50
Not For Profit/
School / $180.00 + GST = $207.00
Administration Fee / $30.00 + GST = $34.50 / Payable first year only
Total amount due / $
Business Sector: (Please x most applicable, this will help identify your business through our Business Directory search)
□ Banking □ Building □ Construction □ Accountants □ Health
□ Manufacturing □ Event Support □ Education □ Hospitality □ Engineering
□ Insurance □ IT □ Legal □ Media □ Oil and Gas
□ Office Services □ Property □ Retail □Transport □ Other
Principal Business Activity:Do you consider yourself to be: Importer □ YES □ NO
Exporter □ YES □ NO
□ I enclose my cheque for current subscription. Please forward a tax invoice.
□ Payment has been made on line to TSB Account 15-3959-0698289-00
MEMBERSHIP TERMS and CONDITIONS.
I/We hereby make application to become a member of the Taranaki Chamber of Commerce Inc.(TCC)
I/We accept that TCC may, in its absolute discretion, decline this application with, or without giving reasons.
I/we agree that if our application is successful we will:-
· Conform with the rules of TCC.
· Pay the administration fee, membership fee and any other charges for services or product from TCC during membership.
· Provide to TCC such information as TCC may decide is necessary for calculating our joining and annual subscription fee and other charges due.
I/We agree to the following specific Terms and Conditions.
1. I/We will remain a member of TCC until TCC receives both a written resignation and full payment for all annual subscription fees and any other charges due to TCC.
2. Annual subscriptions are due in full on the annual subscription anniversary date. The annual subscription fee due is for a full year and will not be pro-rated if I/we resign at any time after one month from receipt of the annual subscription invoice part way through our membership year.
3. TCC may, in its absolute discretion, will allow for our annual subscription fee by regular, equal monthly instalments in arrears but if three or more monthly instalments are not paid on due date, TCC may give notice requiring immediate payment of any balance of the subscription fee due.
4. I/We will advise TCC in writing if we want our membership of TCC confidential. In the absence of such notification, I/we agree that TCC may forward our membership details to TCC approved third parties and other members who may offer products and services which could compliment our membership.
5. I/we will advise TCC in writing of who our primary contact person is for membership purposes and their contact details and will keep you informed if/when these details change.
6. I/We agree that if, for any reason, we are dissatisfied with our membership or any services provided by TCC we will, before resigning or taking any other action first notify the membership manager or, if appropriate, the CEO of TCC in writing of the problem and on request will meet with TCC with a view to resolving the problem.
CONFIRMATION & ACCEPTANCE
I/We wish to apply for Membership of TCC and agree to abide by its constitution and conditions of membership.
……………………………………… Name of signatory ……………………………………… Signature
……………………………………… Title/Position ……………………………………… Date of Application
I/We agree / do not agree (delete one) to being sent information relating to our membership of TCC.
We understand we can review this decision at any time.