Membership Reconfirmation

Company Name *

Trading Name

Date Formed *

Ownership *

Companies House Number

VAT Number

Charity Number

Mid Yorkshire Area *

Phone Number *

Email Address *

Website

Number of Full Time Equivalent Employees *

Sector *

Address 1 *

Address 2

Address 3

County

Postcode *

Primary Contact First Name *

Primary Contact Surname *

Primary Contact Job Title *

Phone / Direct Line *

Email *

Business Owner or Managing Director First Name *

Business Owner or Managing Director Surname *

Business Owner or Managing Director Phone *

Business Owner or Managing Director Email *

Accounts First Name

Accounts Surname

Accounts Job Title

Accounts Phone / Direct Line

Accounts Email

Marketing First Name

Marketing Surname

Marketing Job Title

Marketing Phone / Direct Line

Marketing Email

HR First Name

HR Surname

HR Job Title

HR Phone / Direct Line

HR Email

Do You Export? *

Yes
No

Export First Name

Export Surname

Job Title

Phone Number

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

Where did you hear about the Chamber? *

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 continue in 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 via 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