Form Builder

Name of Business

Registered Address

Companies House Registration Number

If applicable

Telephone (Landline)

Telephone (Mobile)

Business Category

Number of Employees

Company Website

Name of main contact for correspondence

Position

Main Contact Email

Secondary Contact Email

Membership Fees

Our Membership fee is £25 per month (£300 per annum)

Payable By Internet Banking or Go Cardless

HSBC Bank Account Name: GADCCTI LTD T/A A&SCC
Sort Code: 40-08-22
Account: 21696610

Membership Fee Payment Options

In order to become a member you should fill in this form and arrange to pay the membership fee. We offer the choice of paying monthly or annually by standing order, a one off BACS transfer, annual or monthly Go Cardless payments or we can visit your premises with our Zettle machine. Please let us know how you would like to pay and we will be glad to confirm your membership once the application process and our due diligence checks are complete.

Select Payment Option

Small Print

Membership is valid for a full 12 months from the date the Membership Fee is paid.

Membership of the Altrincham & Sale Chamber is dependent upon payment of the subscription being in force at the time. Should a member wish to terminate their membership, written notification must be given at least 3 months before the next year’s membership is due; such notice cannot take effect earlier than the first anniversary of the membership. Should no such notice be received, the member will be liable for the following year’s fees. This fee will be legally recoverable by the Chamber.

Declaration and Agreement

I confirm that I agree to the above terms and that I am authorised to accept on behalf of the business named in this application.

Name Person Submitting The Application

Date