SCCC Swiss Canadian Chamber of Commerce (Ontario)
 

SCCC Membership Application

Please fill out and submit the following form. The SCCC will respond to your application request as soon as possible.

Type of Membership*: Personal Standard Membership (CAD 100.00 + HST)
Personal Entrepreneur Membership (CAD 200.00 + HST)
Corporate Bronze Membership (CAD 750.00 + HST)
Corporate Silver Membership (CAD 2000.00 + HST)
Corporate Gold Membership (CAD 3000.00 + HST)
Date: 2017-12-16
First Name*:
Last Name*:
Title:
Job Title:
Address (1)*:
Address (2):
City*:
Province:
Postal Code:
Country:
Email (1)*:
Email (2):
Personal Website:
Telephone (private):
Telephone (business):
Telephone (mobile):
Company:
  My company is not listed, I would like to enter it
I am not associated to a company
Public Visibility?*
(i.e. do you want your information to be displayed on the member roster?)
 Yes
 No
Payment Form*:  Online
 Cheque by Mail
Captcha*: Please enter the three black characters.
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