Become a Member :: Paris & District Chamber of Commerce

Thank you for your interest in the Paris & District Chamber of Commerce.

To become a Member of the Paris & District Chamber of Commerce:

- review and sign the Member Code of Conduct a signed copy will need to be included with your membership application

- complete all of the fields below on the Membership Form if you prefer you can also download a pdf version of this form and submit via email or mail

- click "submit"

MEMBERSHIP FORM

Main Contact Person Required

Company / Business Name Required

Phone Number Required

Fax Number

Email Address Required

Address

Address 1

Address 2

City

State/Province

Country

Postal Code

Mail Only

this address is a mailing address only, do NOT use on the interactive map of members on the website.

SIGNED Member Code of Conduct Required

Website URL

Facebook

Twitter

Instagram

YouTube

Please provide a brief description of what your business offers Required

Upload Photo

Upload Logo

How did you hear about us? / Who referred you? Required

How many employees does your business currently have? Required

Membership Levels *membership fees are subject to H.S.T.* Required

Paris & District CoC _ Application | Become A Member FILLABLE (do not delete unless changes have been made).pdf

Billing and Payment Details

Membership dues are invoiced annually in November and payment is due by the 15th of January. If joining mid-year dues will be pro-rated based on the membership level and number of months remaining in the year.

Payment Options Required

Pre-Authorized Payment Authorization

I wish to pay by Pre-Authorized Payment and hereby authorize the PARIS & DISTRICT CHAMBER OF COMMERCE to debit the bank account identified on this form to pay membership dues for the amount stipulated on the annual invoice provided.

Member Authorization and Agreement

You, the Payor, may revoke your authorization at any time subject to providing verbal /written notice to the Paris & District Chamber of Commerce at least 10 business days prior to your next scheduled Pre- Authorized Payment due date. You are required to notify the Paris & District Chamber of Commerce immediately of any changes with respect to the banking account against which it has a designated Pre-Authorized Payment Agreement to be withdrawn. You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this Pre-Authorized Payment Agreement. To obtain more information, please contact your financial institution or visit the Canadian Payment Association at: www.cdnpay.ca.

Financial Institution Name

Branch Transit Number

Institution Code

Account Number

Upload VOID Cheque

* I agree that by submitting this form I give Paris & District Chamber of Commerce permission to publish my business name and contact information on the Chamber website.

Please Note: The Paris & District Chamber of Commerce reserves the right to use any photograph/ video taken at any Chamber event without written permission of those included within the photograph/video. The Paris and District Chamber of Commerce may use the photograph/video in various publications including but not limited to: newsletters and brochures, and on websites and social media. Images will not be identified using full names or personal identifying information without approval from the photographed subject, parent or legal guardian.