Skip over navigation
Nelson Tasman Chamber of Commerce


 
Note: * denotes required field
Membership Application Form
*
I/we wish to apply for membership of the Nelson Tasman Chamber of Commerce Inc and agree to be bound by the Rules and By-laws of the Chamber and any amendments thereof.

Address Details
Business Name:*
Postal Address:* Street Address:*
Phone:* Mobile:
Fax: E-Mail:*
Website:  
Please list the above details on the Chamber website:
I wish to participate in membership benefits, and authorise the Chamber to release my business contact names and details to approved sponsors:
I would like my new membership to be recognised in the monthly Commerce Comment Newsletter/ AGM report:
Who is the most senior person in your organisation:
Who is the contact person in your organisation:
Number of Staff (based on full-time equivalents):

Contact Details
Please indicate the full name and business title of the person responsible for the department(s) in your organisation and add address, phone, facsimile and e-mail details if they are different to those above:
Department:* Contact Name:* Business Title:* Receive Mail:*
Address:*
Phone:* Facsimile:
Department: Contact Name: Business Title:
Address:
Phone: Facsimile:
Department: Contact Name: Business Title:
Address:
Phone: Facsimile:

Subscription Details
ACC CLASSIFICATION
Please provide your ACC number in the space below. This is so Nelson Tasman Chamber of Commerce can send you information relating to your particular sector. (Your ACC Number is Box 10 on your company's ACC Employer Premium statement IR68A)
ACC Number:
BUSINESS ACTIVITIES
Which ONE of the following classifications most closely describes your business activity?
INTERNATIONAL TRADE
Please tick where indicated if you IMPORT or EXPORT, or if you have an INTEREST in importing/exporting to any of the following countries:
Import From
(up to 3 countries): 		Export To
(up to 3 countries): 		Interested In
(up to 3 countries):

You and the Chamber
Nelson Tasman Chamber of Commerce offers its members the following services. Please let us know your reasons for joining by ticking the appropriate box(es):
Informative Networking Opportunities: Promoting Business Success: