Member Application

Thank you for your interest in the Belleville Chamber of Commerce membership. Our annual membership is based on the calendar year. If you are joining mid-year, please choose Bill Me when completing Step 5 of the application process. The online Belleville directory and map are available to ALL Belleville businesses. You must have claimed your Google Business Listing to be included on the map, which is searchable by category and key word. Chamber Members will have access to an enhanced listing on the directory which can include logo, photos, video and more, as well as featured spots on the map. If you would like more information on membership with the Belleville Chamber of Commerce please contact us at 613-962-4597 or email info@bellevillechamber.ca.

Business Information

Company Name: *

Leave Blank:

Phone:

Website:

Email: *

Business Description (300 char max):

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

Line 1:

Line 2:

City:

Province:

Postal Code:

Country:

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter YouTube Instagram Google Business

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter YouTube Instagram Google Business

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter YouTube Instagram Google Business

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

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