Membership Registration

2021/2022 Amherstburg Chamber of Commerce Membership Registration Form

Membership is valid from October 1, 2021 through to September 30, 2022.

In order to serve you better please complete the form below to ensure your business is properly identified.

Contact Name * Required
Date * Required
Month
Day
Year
Business Name * Required
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Cell
Fax
Website - enter a valid website URL for example https://www.google.com
Email * Required
Facebook Link
Twitter Link
Instagram Link
LinkedIn Link
Which of the following best describes your business? Please check only one.
- Accommodations
- Accounting
- Agriculture
- Arts & Culture
- Automotive
- Communications
- Construction
- Dining & Entertainment
- Employment Services
- Energy Services
- Family, Community & Non Profit
- Financial Services
- Government & Education
- Health
- Home Improvement
- Insurance
- Janitorial Service
- Lawn & Garden
- Manufacturing & Industrial
- Marketing & Media
- Pets & Veterinary
- Printers & Signs
- Professional Services
- Real Estate
- Rentals
- Retail
- Specialized Services
- Sports & Recreation
- Technology Services
- Transportation
- Travel & Tourism
Year your business joined the Chamber
Number of employees

Membership Rates

Payments
The Amherstburg Chamber of Commerce accepts cheques and e-transfers. Please make cheques payable to the Amherstburg Chamber of Commerce. If you have any questions, contact us at 519-736-2001 or email amherstburgchamber@gmail.com.
Consent * Required
By submitting this application I agree to the following terms and conditions.
I/we hereby make application for membership in the Amherstburg Chamber of Commerce (ACOC). If the Board of Directors accepts your application, you agree to pay in advance the annual fees for the period of 12 months, and agree to be bound by the by-laws of the ACOC. The membership fee is non-refundable. By completing the application form, you hereby provide consent to receive electronic communication from the ACOC.