Become a Member

Want to build your business in Alberta?

Join one of the most the most well-connected chambers in the province.

The Cold Lake Regional Chamber of Commerce is looking for entrepreneurs, non-profits, organizations, and community leaders to join us. Become part of the larger business sector in Cold Lake.

Join the chamber

Member Application

Thank you for your interest in membership with the Cold Lake Regional Chamber of Commerce. Membership fees are based on the calendar year (January 01 - December 31)

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Year Business Started in Cold Lake: *

Were you referred by a current member? If yes, provide business name.:

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:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook

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

Address

Same as Member Address

Line 1: *

Line 2

City: *

Province: *

Postal Code: *

Country: *

Print Application

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