Please CLICK HERE for an eletronic version of the application form or alternatively   print and complete the below form and return to Grahame Macaulay, 
Company Secretary, Midsomer Norton and Radstock
Chamber of Commerce,  Island House, Midsomer 
Norton, BA3 2HF   (for best results please print on landscape)

Full Business Name________________________________________

Address_________________________________________________

________________________________________________________

Postcode___________________________________


Telephone__________________________________


Fax _______________________________________


email ______________________________________
 

Website Address __________________________________
 

Contact Name_______________________________
 

Nature of Business___________________________

 
Willing to receive information by email: Yes/No  

Willing to have name in various chamber materials: Yes/No

 
I/We undertake to be bound by the Memorandum and Articles
of the Chamber and ask to be entered on the register of members.


Authorised Signature________________________

Date of application   ________________________


Cheques/Cash in the sum of £30 for the year 2008 enclosed
herewith.   (Renewable yearly on 1st January). Cheques to 
be made payable to Midsomer Norton and Radstock 
Chamber of Commerce.