Full Membership Form

Company Name *

Trading Name

Generic Company Email Address *

Address 1 *

Address 2

Address 3

County

Postcode *

Website

Phone Number *

Do You Export? *

Yes
No

Do You Require Your Membership To Become Immediately Active? *

Yes - I wish to take advantage of member benefits including export services immediately. My membership will start on 1st of current month.
No - My membership will start on 1st of next month

Where did you hear about the Chamber? *

Please let us know who referred you

Please Give Any Further Details Here

Date Established *

Ownership *

Companies House Registration Number

SIC Code

VAT Number

Charity Number

Industry *

Number of Full Time Equivalent Employees (FTE) *

Do You Require A Purchase Order Reference To Be Included On Your Invoice? *

Yes
No

If Yes, Include The PO Reference Here

Primary Contact First Name *

Primary Contact Surname *

Primary Contact Job Title *

Primary Contact Phone / Direct Line *

Primary Contact Email *

Accounts First Name *

Accounts Surname *

Accounts Job Title *

Accounts Phone / Direct Line *

Accounts Email *

Would you like your company details to be featured in the member directory, which is available to Mid Yorkshire Chamber Members only? *

Yes
No

Your privacy is important to us; the Mid Yorkshire Chamber is fully committed to complying with the provisions of the data protection act and EU GDPR. We restrict the access to personal data to trusted third parties with a legitimate business requirement, specifically those involved with providing member benefits. *

I accept

We confirm that we wish to apply for membership of the Mid Yorkshire Chamber of Commerce. We agree to abide by the terms and conditions as given in the Memorandum and Articles of the Association as found at my-chamber.co.uk. We understand that we will automatically receive a renewal invoice in the month prior to the annual anniversary of our membership. We accept that we are subject to a minimum notice period of 30 days prior to renewal to terminate our membership. *

I accept

Business Owner or Managing Director name *

First

Last

Job Title *

Business Owner or Managing Director Phone *

Business Owner or Managing Director Email *