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No. of Employees	Basic Rate	VAT	Total
0 - 4	£120.00	£21.00	£141.00
5 - 10	£240.00	£42.00	£282.00
11 - 50	£360.00	£63.00	£423.00
51 - 100	£480.00	£84.00	£564.00
101 - 250	£720.00	£126.00	£846.00
251 - 500	£900.00	£157.50	£1057.50
501 - 999	£1200.00	£210.00	£1410.00
1000+	£1,500.00	£262.50	£1,762.50

(* required field) Company name *
Business address (will be available to all members) Building name/number Street address Town City County Postcode	Mailing address (if different to business address) Building name/number Street address Town City county Postcode   Company telephone * (no spaces) Company fax (no spaces) Company email Company website

Company Start Date (e.g. 01-05-1995) *
Company Turnover
No. of Employees *
Business Description (no more than 500 characters) *

Title	Mr Mrs Ms Miss Dr Prof
First Name *
Last Name *
Job Title
Email *
Mobile	(no spaces)
Direct Phone *	(no spaces)

Where did you hear about Leeds, York & North Yorkshire Chamber of Commerce?	Email E-shot Event Events Guide Flyer Leeds Business Update (LBU) Chamber Ezine Leeds Media e-bulletin Mailshot Member of Staff Newspaper None Recommendation Regular Attendee Trial Membership Word of Mouth
Which of the following options are of most interest to you? (Please select all that apply)
Company benefits     Credit checks     Tailored databases     UK wide meeting rooms     Public relations	Cost savings     Find a supplier service     Insurance     Security     Telecoms/Internet security     Card payment services     Utilities auditing     Events and training     International trade documentation and training     Corporate hospitality     AA membership (Fleet)

By submitting this form you confirm that you wish to apply for membership of the Leeds, York and North Yorkshire Chamber of Commerce & Industry and agree to abide by the terms and conditions in the Memorandum and Articles of Association. The Chamber reserves the right to refuse membership without giving any reasons. To help promote trade between members, we hereby give formal consent for our company details to be included in the Chamber Members Directory and on the Leeds, York and North Yorkshire Chamber of Commerce internet website. As part of the cost of membership, you are entitled to one free hard copy of the Leeds, York and North Yorkshire Chamber of Commerce Directory. Additional copies are available at a cost of £35 + VAT, but as stocks are limited we cannot guarantee availability. If you misplace your directory at any time however, an online version is available at all times and can be accessed through our website www.yourchamber.org.uk. Members may terminate membership by giving notice to the Secretary at least two months before the expiration of their subscription year, otherwise they shall be held liable to pay their subscription for the ensuing year and subscription shall be a debt due and legally recoverable by the Chamber.
I agree to the terms and conditions

Company Name: Business Address: Mailing Address: Company telephone Company fax Company email Company website Company start date Company turnover No. of Employees Company description	How you heard Main contact Job Title Email Mobile Direct phone Company Benefits Cost Savings

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