TDCC MEMBERSHIP APPLICATION FORM

Applicant Details:

Name of Company:   ...............................................................................................................................

Registered Number:  ....................................................

Business Address:  .................................................................................................................................

.................................................................................................................................................................

..............................................................................  Post Code:  ..............................................................

Telephone No:  ..........................................................  Mobile:  ............................................................

E mail Address:  .....................................................................................................................................

Website Address: ....................................................................................................................................

Name of Company representative authorised to make this application:

.................................................................................................................................................................

Appointment in Company:  ....................................................................................................................

Number of Employees:  Full Time ............................       Part Time .....................................................

If Approved for Membership of the Tidworth & District Chamber of Commerce, I/We agree to abide by the rules of this Chamber.

I/We enclose a cheque for £35.00 (company with 5 or less employees), £60.00 (6-50 employees), £125.00 (51-150 employees), or £250.00 for all others.  Please make cheque payable to TDCC.

Applicant’s Signature:   ..........................................................................................................................

Block Capitals:  .............................................................................   Date:  ............................................

Return this form to:-

Castledown Business Centre

FitzGilbert Court

Castledown Road

Ludgershall

Wiltshire

SP11 9FA

Tel 01264 848311

Fax 01264 791828

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