The Jersey Chamber of Commerce

Application Form For Membership 2018/19

A) Company Details

Company Name:
Building / House Name:
PO Box:
Road / Street:
Parish:
Country:
Post Code:
Telephone Number:
Office E-Mail Address:
Website Address:
Twitter Name:
Facebook Page:

B) Primary Representative Details for MD / CEO

Position:
Title:
First Name(s):
Surname:
Direct Telephone Number:
Direct E-Mail Address:
Mobile Telephone Number:

C) Business Description – A brief description of your principle business activities (max. 25 words.)

D) Using Your Information

As a member of Chamber you agree to support and uphold the aims and objectives of Chamber as set out in its Constitution, and you consent to the name of your business being published in any current membership list and to the use of your information by Chamber as noted in the boxes below. In addition, you acknowledge that Chamber is committed to promoting the interests of its members to other parties for the purpose of promoting trade in the island.
Please check the box if you consent to having your company contact details (as listed in Section A above) and the name and position of your primary representative (but not their direct contact details) published in any Chamber publications (including the website and the on-line business directory.)
Please check the box to confirm your acknowledgement and agreement to the fact that any direct contact details included in Sections A and B (above) will only be used by Chamber in order to inform members of Chamber events and to communicate matters judged to be of relevance by Chamber (which may include direct marketing of goods and services) and for the purposes of issuing surveys. As a member of Chamber you are consenting to such use. Chamber will rely on you to notify us of any changes to your information.

E) Category

Please state the total number of employees in your business – all of whom will be covered as members:
Signed: / Print Name:
Date:

Payment of Subscription Fees & Direct Debit.

In order to minimise the administrative burden associated with the collection and processing of subscription fees, Chamber collects and processes all subscription fee payments through a Direct Debit scheme operated in conjunction with our partner, GoCardless.

We will arrange for you to receive an e-mail message from GoCardless which will request your authority for us to process your payment and to advise details of the Bank Account from which payment should be effected.

PleaseONLY provide a name and e-mail address here, if you wish to pay your annual membership fee via Direct Debit. The Direct Debit authorisation request will be sent to the person you list below.

Name: / E-Mail:

Completed application forms should either be forwarded via e-mail message to or by post to: Jersey Chamber of Commerce, Chamber House, 25 Pier Road, St. Helier, JE2 4XW.

Please tick the appropriate box in the 2 lists below to accurately reflect your business / organisation.

Category / Tick √ / £
O / Sole Proprietor / Single Person Business / 76.00
A / Employing 2 to 5 persons / 141.00
B / Employing 6 to 20 persons / 177.00
C / Employing 21 to 30 persons / 258.00
D / Employing 31 to 50 persons / 352.00
E / Employing 51 to 100 persons / 454.00
F / Employing 101 to 200 persons / 562.00
G / Employing 201 to 400 persons / 945.00
H / Employing 401 to 700 persons / 1,460.00
I / Employing 701 persons upwards / 1,567.00
J / Individual Private Members (Retired members only) / 28.00
K / Voluntary and Community Sector Organisations / 44.00
Allocation / Tick √ / Industry Sector
1 / Retail & Supply
2 / Tourism / Leisure / Hospitality
3 / Transport / Links
4 / Building & Development
5 / Legal
6 / Competition / Regulation
7 / IT
8 / Financial
9 / Advertising / Public Relation / Marketing / Media / Events
10 / Human Resources / Manpower / Training
11 / Health & Beauty
12 / Voluntary & Community Sector Organisations
13 / Marine
14 / Business & Professional Services
15 / Security (NOT IT)
16 / Retired
17 / Logistics
18 / Environmental

Additional Company / Organisation Representative Details

Additional representatives can be added free of charge. This option ensures that any additional representatives will receive Chamber correspondence directly via e-mail.

1) Additional Representative Name:
Position:
Direct Telephone Number:
Direct E-Mail Address:
2) Additional Representative Name:
Position:
Direct Telephone Number:
Direct E-Mail Address:
3) Additional Representative Name:
Position:
Direct Telephone Number:
Direct E-Mail Address:
4) Additional Representative Name:
Position:
Direct Telephone Number:
Direct E-Mail Address:
5) Additional Representative Name:
Position:
Direct Telephone Number:
Direct E-Mail Address:
6) Additional Representative Name:
Position:
Direct Telephone Number:
Direct E-Mail Address:

Please add further representatives on a separate sheet if there are additional people within your business who would like to receive Chamber e-mails and correspondence.