Business name (required)

Additional trading name/s

Are you registered for GST?
YesNo

Your Name (required)

Address (required)

Phone Number (required)

ABN (required)

Logo (min 300dpi)

Your Email (required)

Your Website

Describe your business and list all products/services offered (required)

Hero Photo (landscape orientation, min 300dpi, max 1MB)

Business Photo 2 (min 300dpi, max 1MB)

Business Photo 3 (min 300dpi, max 1MB)

Business Photo 4 (min 300dpi, max 1MB)

Business Photo 5 (min 300dpi, max 1MB)

Business Photo 6 (min 300dpi, max 1MB)

Are you interested in providing services to the Shire of Denmark?
YesNo

If yes, what products/services?

I, being Owner/Manager/Director/Authorised Representative of the above-mentioned business,
apply for Membership of the Denmark Chamber of Commerce and understand it is subject
to approval.
I agree to abide by the DCC Constitution and its rules of membership.
I understand that Membership of the DCC will entitle me to the documented services.
I give my permission to be included on the DCC’s database and website.

Agree