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Membership Application Email 1 - Chamber of Commerce ...

Membership Application Email 1 - Chamber of Commerce ...

Membership Application Email 1 - Chamber of Commerce

OFFICE USE ONLY Processed by:Membership Number:Renewal Month:MEMBERSHIP APPLICATIONName of company:Company address:Postcode:Tel: Fax: Mobile:Company email:Company website:Twitter feed:Name of membership contact:Job title:Email:KEY CONTACTS: (please list if diifferent from membership contact)Finance contact: Job title: Email:HR contact: Job title: Email:Sales & Marketing contact: Job title: Email:Other contact: Job title: Email:Other contact: Job title: Email:APPLICATION DECLARATIONI, the undersigned, have completed this form to the best of my knowledge andability and confirm the information supplied is accurate at the date of completion.I hereby make an application for Membership of the Herefordshire andWorcestershire Chamber of Commerce. I agree to be bound by the Articles ofAssociation and the Terms and Conditions as stated overleaf.I have completed the ‘payment details’ form and understand that payment is duefor an annual period, commencing on the first day of the month of application.Payments are non-refundable upon cancellation within a membership year. Iunderstand that if I pay by Direct Debit, my account will be debited on or aroundthe 24th of the month of application and subsequent months as applicable.I understand that I am not eligible for Membership benefits until my payment hasbeen received by Herefordshire and Worcestershire Chamber of Commerce.Herefordshire and Worcestershire Chamber of Commerce take part in surveyswhich inform local, regional and national policy. I understand that from time totime, I may be asked for my contribution in completion of these surveys.DATA PROTECTION NOTICEHerefordshire and Worcestershire Chamber of Commerce [the Chamber] isregistered under the Data Protection Act 1998 and takes the processing of yourpersonal data very seriously. Please take your time to read this notice so that youare fully aware of what you are consenting to. Please contact us if you are unsureabout any part of this notice by telephone 0845 641 1641 or e-mail enquiries@hwchamber.co.uk. The Chamber’s Data Protection Officer can be contacted atthe registered address at the foot of this form. The Chamber’s privacy policy canbe viewed on the Chamber website at www.hwchamber.co.ukThe Chamber is responsible for the protection of all personal data supplied onthis form. I understand and consent that the data here supplied will be held onthe Chamber’s database. The details provided on this form will be used by theChamber to inform me of associated Membership services and will be includedin both local and regional directories and shown on Chamber event delegate listsas appropriate.The Chamber operates in a broad business network and can offer its membersbeneficial connections with additional partners and fellow members. Thelist of Chamber partner organisations can be viewed on the Chamber website atwww.hwchamber.co.uk. Please tick if you would prefer your details NOT to be:■ passed to Chamber partner organisations and fellow membersSignature:Name:Position:Date:HEREFORDSHIRE AND WORCESTERSHIRE CHAMBER OF COMMERCE IS A COMPANY REGISTERED IN ENGLAND UNDER NUMBER 2531345.REGISTERED ADDRESS; SEVERN HOUSE, PRESCOTT DRIVE, WARNDON BUSINESS PARK, WORCESTER, WR4 9NE.

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