Membership Application Form

Membership Application Form

The Greater Tunapuna Chamber of Industry & Commerce Tel: +1-868-322-4482 | Email: gtchamberinfo@gmail.com
Any information given on this form will be regarded as current and will be treated with the strictest confidence. As the Applicant, it will be to your advantage to provide the necessary information adequately. The completion of this Application Form will in no way obligate the Chamber to GUARANTEE membership.
Contact Details
Name (Company or Individual):
Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different from previous)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Telephone
Please enter a valid phone number.
Mobile Telephone
Please enter a valid phone number.
Email
example@example.com
Website URL
Bankers
Branch

No. of Employees	Category	Annual Dues	Representation Entitlement
30 & Over	A	$2,500	3
20-29	B	$2,000	2
4-19	C	$1,250	1
1-3	D	$750	1
Associate (Individual)	E	$750	1
Associate (Company)	F	(A-D)	-
State Agency	G	N/A	1

Access Fee: $250 (New Members)

Total Payment = Annual Dues + Access Fee

Notes:

*Individuals/Professionals will be categorized under Category D

*Value Added Tax is not Applicable

*Associate refers to a member outside the Tunapuna Region

*The membership committee and the Board will have the discretion to refuse membership
KINDLY MAKE CHEQUE(S) PAYABLE TO:
THE GREATER TUNAPUNA CHAMBER OF INDUSTRY & COMMERCE
Name of Bank: Scotia Bank (Tunapuna Branch)
Account Number: 00882-18
Transit Number: 42135
Account Type: Cheque FOR OFFICIAL USE ONLY
COMPANY REPRESENTATIVES
Procedure:

Upon receipt of the duly completed application form, it will be forwarded to the next Board of Directors Meeting for their consideration and approval. A letter of acceptance and invoice for membership fees, where applicable, will be issued and a membership package arranged.

Representative # 1