Registration of interest form

Name  
Name of Organisation  
Position  
Address  
Telephone number  
E-mail address  
Please tick the box if would like to receive further information about the Chamber of Commerce?  
Please indicate which of the following membership benefits you would be interested in :- (please tick as many boxes as relevant)    
1 Networking with other businesses  
2 Attendance of business-related events/seminars  
3 Access to web-based resources  
4 Social events  
5 Advice from other members with a specific specialism  
6 Participation in PR initiatives  
7 Participation on wider affiliation to other business and non-business bodies  
Are there any other ideas that you have for the chamber to add to its list of initiatives?  
How would you prefer to be contacted?   E-mail:     Post:
     
Please answer the Anti Spam Security Question:
What colour is "Czech" in the Chamber’s logo above?