MEMBERSHIP APPLICATION FORM

Name of Applicant:

Mobile Number:

Business Name:

Principal Activity:

Address:

Phone Number:

Email:

Website:

Applicant's Position in the Company:

Date of Application (DD/MM/YY):

Level of Membership:

Gold Patron - €3000 annual membership

Silver Patron - €1000 annual membership

Bronze Patron - €500 annual membership

SME 10+ Employees - €300 annual membership

SME 1-9 Employees - €200 annual membership

Start Ups - €100 annual membership

TERMS AND CONDITIONS:

In becoming a member of Balbriggan Chamber of Commerce, the applicant consents for their company name, phone number, email and website being displayed on the Balbriggan Chamber of Commerce website CLICK HERE FOR TERMS and CONDITIONS

Please confirm:

I agree to the Terms and Conditions

GDPR:

Personal information will not be used, disclosed or processed in any manner incompatible with the purpose for which it was obtained.