Member Application

Please note that by completing and submitting this electronic form you agree to abide by the terms, conditions, and policies of the Chilliwack Chamber of Commerce.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your Province.
Please add your Postal Code.
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your Province.
Please add your Postal Code.
Social Network Addresses

Step 2:

Additional Info
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Social Network Addresses
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Social Network Addresses
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Please complete the Captcha