St Elias Chamber of Commerce Registration Form

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Please complete this form to register for the St. Elias Chamber of Commerce

Name of Business *

Owner of Business *

Representative of business (if different than owner)

Mailing Address *

Phone number *

Email address *

Website

Short description of business *

Would you like to have your business name and contact information listed on our website in the Membership Directory at www.steliaschamber.com ? *

Yes

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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