BUSINESS MEMBERSHIP APPLICATION

Page 1 of 9

1. Company Name

2. Primary Contact

3. Invoice Recipient

4. Accounts Payable Contact

5. Areas of Interest

Please rank your top three and mark other areas of interest with a check mark.

6. Type of Industry

7. I would like more information on

8. Membership Level

Add-On Options (requires membership)
  • E-newsletter Article - $100
  • The Brief Business Report - $100
  • Effect Magazine Article printed version - $1500
  • The Brief Business Report article - $150
  • Earth Cam Ad - $300
  • Front Banner Ad - $1200
  • Side Banner Ad - $900
  • Feature Article - $500
Program Description
  • On site assessment
  • Product Development
  • Concept Development
  • Marketing / Promotion consultation
  • Web Development
  • Photography, Video, Drones views, etc.

Any personal information provided on the attached form will be used by the Niagara on The Lake Chamber of Commerce only and will not be shared with third parties.
Thank you for filling out this form.
Please list all Newsletter and The Brief Business Report recipients in your organization (max.  10) Name + email: