Southern Lakes Chamber of Commerce

Membership Application

Company name__________________________________

Type of business ________________________________________

Location of business_____________________________________

Mailing address_______________________________________

_____________________________________________________

_____________________________________________________

Name of contact_______________________________________

Phone:_________________________

Fax:___________________________

Email:_______________________________________________

Website:______________________________________________

For notification of meetings and projects I prefer to be contacted by:

Email ____ Fax______ Phone_____

Projects I would like to see________________________________

______________________________________________________

______________________________________________________

Signature______________________________________________

Please return this section with yearly membership fees of:

_____ $25.00 for full membership

_____ $10.00 for affiliate (non-voting) membership

Please send cheque to:

Southern Lakes Chamber of Commerce
Box 45
Carcross, Yukon, Y0B 1B0

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