Membership – Application Form Membership - Application form Home » Membership – Application Form Company Name* Trading Name* As above ABN* Company Email* Website* Office Phone 1*Business Address 1* Business Address 2 Business Suburb* Business State*ACTNSWVICQLDWASANTTASBusiness Postcode* Business Country*AustraliaNew ZealandPostal Address As above Postal Address 1 Postal Address 2 Postal Suburb Postal StateACTNSWVICQLDWASANTTASPostal Postcode Postal CountryAustraliaNew ZealandPrimary Contact First Name* Primary Contact Second Name* Primary Contact Job Title* Primary Contact Phone*Contact Mobile Phone NumberPrimary Contact Email* Business Type*Private CompanyPublic CompanyNot for ProfitPartnershipTrustSole TraderIncorporated AssociationUnincorporated AssociationStatutory AuthorityOtherIndustry Sector*Please Select OneAccommodation and Food ServicesAgriculture Forestry and FishingArts and Recreation ServicesConstructionEducation and TrainingElectricity, Gas, Water and Waste ServicesFinancial and Insurance ServicesGovernment Administration and DefenceHealth Care and Social AssistanceInformation Media and TelecommunicationsManufacturingMiningPersonal and Other ServicesRetail TradeWholesale TradeTransport and StorageProperty and Business ServicesOtherMembership Type*MicroBusinessKindredCorporatePrincipalInterested in Employer Assist Premium package (additional fees apply)*YesNoPayment Method*Monthly Direct DebitAnnual PaymentWhere did you hear about CBC membership?*Social MediaRadio AdChamber WebsiteFrom another member Δ
