Porirua Chamber of Commerce

Apply online form

New Member Application

Business Details:

Business Name *

Telephone *

Fax

Website

Physical Address:

Physical Address *

Physical Address

City *

Postcode *

Postal Address:

Postal Address *

Postal Address

City *

Postcode *

Main Contact Details:

Contact Name *

Position

Email Address *

Mobile Number

Extended Business Information:

Number of full time equivalent staff *

Are you an exporter?

Business Category *

Business Description (100 words max - this information will be displayed in our online member directory)

How did you hear about us *

Website Login Details:

Email address for this website login *

Password for this website login *

Retype Password *

Membership Payment Information

Payment Options:

The Chamber offers 3 ways to pay for membership and event participation; Invoice, Internet Banking & online credit card payments.

Invoice:
Once we have received registration, we will invoice you for the amount owing. For membership sign-up, you will not appear in the member directory until the invoice has been paid in full.

Internet Banking:
If you wish to pay by internet banking, these are our bank details:
ANZ Porirua Account No. 01 0546 0103466 00
Please include your business name in the reference.
For membership sign-up, you will not appear in the member directory until the payment has been processed.

Credit Card:
Credit card payments are handled by our secure online banking partner, Payment Express. No credit card details are stored on this site.

Select Membership Type:

First Year Special Rate - Sole Trader / Owner Operator / 0-5 Employees $99.00 + GST Sole Trader / Owner Operator / 0-5 Employees $179.00 + GST Small and Medium Businesses / 6-21 Employees $250.00 +GST Large Businesses / 21+ Employees $350.00 +GST

Select Payment Method:

Invoice Us Pay by Internet Banking Credit Card