application form
| Please complete the following form, print and post with your payment to: Ten Sixty Six Enterprise, Chamber of Commerce, |
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| Company name: | ||
| Address: | ||
| Postcode: | ||
| Telephone: | ||
| Facsimile: | ||
| email: | ||
| Contact name: | ||
| Job Title: | ||
| Sector: | ||
| Years trading: | ||
| Number of employees: | ||
| Please select the appropriate subscription: | ||
| Under 10 employees | £60.00 +VAT (£70.50 total) | |
| 11-50 employees | £90.00 +VAT (£105.75 total) | |
| 51-100 employees | £120.00 +VAT (£141.00 total) | |
| 101+ employees | £180.00 +VAT (£211.50 total) | |
| Payment | ||
| You may pay your subscription either in full by cheque or by Standing Order (see below) | ||
| I enclose full payment by cheque for made payable to Ten Sixty Six Enterprise. | ||
| I would like to pay by Standing Order from the account details below. | ||
| Instructions to your bank to pay by Standing Order | ||
| To the manager of Bank / Building Society | ||
| Address: | ||
| Postcode: | ||
| Name(s) of Account holder(s): | ||
| Reference Number (if any): | ||
| Branch Sort Code: | ||
| Bank / Building Society Account No: | ||
| Amount of first payment: | ||
| Amount of usual payment: | ||
| Date of first payment: | ||
| Date of usual payment: | ||
| Instructions to Bank or Building Society: | ||
| Please pay be Standing Order from the account
details on this instruction to the following organisation: Ten Sixty Six Enterprise Bank and Branch Name: HSBC Hastings Account Number: 31299360 Sort Code: 40-23-18 |
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| Signature: | ||
| Further Information | ||
| In the space below please give a brief
description of your company's goods and/or services for inclusion in the
directory and for your membership entry on the web site. The directory
of members will be updated monthly on the web-site and in hard copy form
distributed to members quarterly.
The web site has a Members Only section, only accessible to members using their unique pass number. A bulletin board allows members to advertise or to communicate with other members. The "Members Only" section is designed to prevent the members listing being used for mailing purposes by unauthorised persons. Hastings & St Leonards Chamber of Commerce will not share the membership listing for commercial purposes. |
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| About your business: |
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| How did you find out about Chamber Membership? |
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| What is your main reason for wanting to
join? |
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| Are there any membership benefits you wish to see added? |
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| When you have completed the form, please print and post with your payment to: Ten Sixty Six Enterprise, Chamber of Commerce, |
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