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St Elias Chamber of Commerce Registration Form
Please complete this form to register for the St. Elias Chamber of Commerce
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* Indicates required question
Name of Business
*
Your answer
Owner of Business
*
Your answer
Representative of business (if different than owner)
Your answer
Mailing Address
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Website
Your answer
Short description of business
*
Your answer
Would you like to have your business name and contact information listed on our website in the Membership Directory at
www.steliaschamber.com
?
*
Yes
No
To confirm your membership, please provide payment by online purchase at steliaschamber.com or
mail a cheque to:
St Elias Chamber of Commerce
Box 5401, Haines Junction YT Y0B1L0
*Please note the St Elias Chamber of Commerce cannot receive etransers
*
Voting Member ($100)
Non-voting Member ($50)
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