Your Organization Details | Cold Lake Regional Chamber of Commerce

Step 3: Membership / Organization Details

Primary Contact: Your Details

Please let us know your direct contact details as the primary contact. This will not be the main business details, but rather, who should we call/text/email for billing, payment and contact relating to your membership with us.

Your First Name *

Your Last Name *

Your Mobile Phone / Primary Contact *

Your Contact Email *

Business Details

Business / Organization Name *

Business Email *

Business Phone Number *

Fax Number

Number of Employees *

Website

What Are Your Social Handles?

Facebook

Instagram

Twitter

TikTok

Your Physical Address / Location

Address Line 1 *

Address Line 2

City *

Postal Code / Zip *

Province / State *

Country *

Mailing Address

Is your mailing address the same as physical address?

Yes

No

Mailing Address Details

Address Line 1

Address Line 2

City

Province / State

Postal Code / Zip

Country

Business Details

Business Category *

Business Description

Date Business Was Founded

Company Logo

Can we publish your organization in the membership business directory? *

Yes

No

Membership Tier

Membership Tier *

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