Membership Application & Web Advertisement

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Verdana" ><B> West Clare - One of Ireland's Best Kept Secrets promoted by Kilrush Chamber of Commerce</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE=" West Clare One of Irelands Best Kept S"><B>home</B></A></div> <div> back to  <A HREF="chamber_intro.htm" TARGET="_top" TITLE="Kilrush Chamber of Commerce"><B>Kilrush Chamber of Commerce</B></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=160 BGCOLOR="#FFCC66" TEXT="#080000" background="121d4c00dkelyh.png"> <div> <A HREF="chamber_objectives.htm" TARGET="_top" TITLE="Chamber Objectives">Chamber Objectives</A></div> <div> <A HREF="id8.htm" TARGET="_top" TITLE="Chamber Executive">Chamber Executive</A></div> <div> <B>Membership Application & Web Advertisement</B></div> <div> <A 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HREF="kilrush_decentralisation_caf.htm" TARGET="_top" TITLE="Kilrush Decentralisation Central Applica">Kilrush Decentralisation Central Applications Facility</A></div> <div> <A HREF="christmas_2004_spirit_of_christmas.htm" TARGET="_top" TITLE="Christmas 2004">Christmas 2004</A></div> <div> <A HREF="clare_tourism_promotion_study.htm" TARGET="_top" TITLE="Clare Tourism Promotion Study">Clare Tourism Promotion Study</A></div> <div> <A HREF="kilrush_decentralisation_info.htm" TARGET="_top" TITLE="Kilrush Decentralisation Info">Kilrush Decentralisation Info</A></div> <div> <A HREF="myfairlady.htm" TARGET="_top" TITLE="My Fair Lady">My Fair Lady</A></div> <div> <A HREF="employment_legislation.htm" TARGET="_top" TITLE="Employment Legislation">Employment Legislation</A></div> <div> <A HREF="campbell_international.htm" TARGET="_top" TITLE="Campbell International">Campbell International</A></div> <div> <A HREF="wiora2005.htm" TARGET="_top" TITLE="WIORA 2005">WIORA 2005</A></div> <div> Kilrush Chamber of Commerce</div> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="bc200c00egerdp.jpg"> <div> <B> <A NAME="annual_membership_subscription_form"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><FONT SIZE="2" COLOR="#006699" FACE="Verdana" ><B>Annual Membership Subscription Form/ Business Database</B></FONT></div> <bR> <div> (Annual Subscriptions Period:  1<FONT SIZE="1" COLOR="#006699" FACE="Verdana" >st</FONT> January 2007 - 31<FONT SIZE="1" COLOR="#006699" FACE="Verdana" >st</FONT> December 2007)</div> <bR> <div> <A HREF="#westclare_com_web_advertisement" TITLE="Membership Application Web Advertisemen">If you wish to have a Web Advertisement (€150), please complete details.</A></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="497" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 15 WIDTH="226"><div> <B>Details:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><div> <I>Your Details      Please </I></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 74 WIDTH="226"><div> <B>Membership Type:</B></div> <div> <B>Payment to:</B></div> <div> <B>Helen Williams, Hon. Treasurer, Kilrush Chamber of Commerce, The Square, Kilrush, Co. Clare.</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><div> <B>  €75.00 (1-5 staff)</B></div> <div> <B>  €100.00 (6-15 staff)</B></div> <div> <B>  €175.00 (16 staff +)</B></div> <div> <B> €30.00 Private individual</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 29 WIDTH="226"><div> <A HREF="http://www.westclare.com" TARGET="_top" TITLE="http://www.westclare.com"><B><U>www.westclare.com</U></B></A><B> advertisement</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B> €150 Website Advertisement</B></div> <div> <B>€100 Website Advertisement Renewal</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Name:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="226" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>Business/Company Name:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Address:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="226" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="226" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="226" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 29 ><NOBR><div> <B>Nominated Names (s)</B></div> <div> <B>For Company Membership:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="29" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 14 WIDTH="226"><div> <B>Telephone: Work:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><div> <B>(065) 90</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 14 WIDTH="226"><div> <B>                    Home:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><div> <B>(065) 90</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Mobile:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>E-mail address (Public):</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>E-mail address:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 14 WIDTH="226"><div> <B>Website address:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><div> <B>http://www.</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Business Type:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Short Link Description</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 50 WIDTH="226"><div> <B>Main Link Description</B></div> <div> <B> (Max 90 Characters)</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><bR> <bR> <bR> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 44 WIDTH="226"><div> <B>Opening Hours:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><div> <B>Mon-Fri:                 Half-Day:</B></div> <div> <B>Sat:</B></div> <div> <B>Sun:   </B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 44 WIDTH="226"><div> <B>Membership of Professional Bodies or Organisations. E.g.  Bord Failte,</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>Kilrush Chamber of Commerce</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Nearest Parking</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="226"><div> <B>Signature:</B></div> </tD> <tD VALIGN=TOP WIDTH="256"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="18" ALIGN="bottom" WIDTH="256" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 29 ><NOBR><div> <B>Date Paid:           Amount: €</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>Invoice Number:         Receipt No: </B></div> <bR> </NOBR></tD> </tR> </TABLE></div> <div> Forward to Helen Williams, Hon. Treasurer, Kilrush Chamber of Commerce, </div> <div> The Square, Kilrush, Co. Clare.</div> <div> Download:  <a href="HTMLobj-6554/KCC__2007_Membership_Form.pdf"><u>Chamber 2007 Membership Form</u> </a>  </div> <bR> <div> <A HREF="id67_m.htm" TITLE="Membership Application Web Advertisemen">Back to Top</A></div> <div> <B> <A NAME="westclare_com_web_advertisement"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Westclare.com Web Advertisement</B></div> <bR> <div> Please include the following 6-inch/15 cm standard web advertisement on www.westclare.com for the annual period ending 31/12/2006</div> <bR> <div> I enclose €150.</div> <bR> <div> <A HREF="#annual_membership_subscription_form" TITLE="Membership Application Web Advertisemen">It is recommended that you become a member of Kilrush</A></div> <div> <A HREF="#annual_membership_subscription_form" TITLE="Membership Application Web Advertisemen">Chamber of Commerce. See details above.</A></div> <bR> <div>      Business Name: (one line)</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="414"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="414" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <div> Proprietor's Name and address: (one line)</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="414"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="414" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <div> Photograph enclosed or I require photograph to be taken.</div> <bR> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="231" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 145 WIDTH="221"><div> <B>Your Photo</B></div> </tD> </tR> </TABLE></div> <div>   </div> <div> Description of business/services including directions</div> <div>  (One/two paragraphs, About 70 words).</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="432" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 77 WIDTH="422"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="77" ALIGN="bottom" WIDTH="422" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <div> Contact:</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="414"><div> Telephone:                                 Fax:</div> <div> E-mail:                                         Web:</div> </tD> </tR> </TABLE></div> <bR> <div> Business Times:</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 32 ><NOBR><div> Business Hours:      Mon-Fri:            Sat:         Sun</div> <div> Open (B & B): All Year or Seasonal:                                                                  </div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> Credit Cards Accepted</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 48 WIDTH="414"><div> VISA/MasterCard/American Express/</div> <div> Laser Cards: Yes/No            </div> <div> Other:</div> </tD> </tR> </TABLE></div> <bR> <div> Web Links to your business or associated sites</div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 48 WIDTH="414"><div> Bord Failte:</div> <div> Other: </div> <div> Other:</div> </tD> </tR> </TABLE></div> <div> Please Print and forward by post or by e-mail to <A HREF="mailto:kilrushchamber@eircom.net" TARGET="_top" TITLE="mailto:kilrushchamber@eircom.net">Kilrush Chamber of Commerce</A></div> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="id67_m.htm" TITLE="Membership Application Web Advertisemen">Back to Top</A></div> <bR> <div> <IMG SRC="252ee250.png" border=0 width="494" height="37" ALT="Corel Photo House Image" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>West Clare - One of Ireland's Best Kept Secrets</B></div> <bR> <div> <B>www.westclare.com</B></div> <bR> <div> <B>Kilrush Chamber of Commerce</B></div> <div> Frances Street, Kilrush, Co. Clare, Ireland.</div> <div> Telephone: +353 65 905 1061 Fax: +353 65 905 1002</div> <div> E-mail: <A HREF="mailto:kilrushchamber@eircom.net" TARGET="_top" TITLE="mailto:kilrushchamber@eircom.net">Kilrush Chamber of Commerce</A></div> <div> Web: <A HREF="http://www.westclare.com" TARGET="_top" TITLE="http://www.westclare.com">www.westclare.com</A></div> <bR> <div>  <FONT SIZE="1" COLOR="#006699" FACE="Symbol" >ã </FONT><FONT SIZE="1" COLOR="#006699" FACE="Verdana" >Copyright 2005. Kilrush Chamber of Commerce. All rights reserved.</FONT></div> <div> Web development by <A HREF="http://www.kilrushinternetbureau.biz" TARGET="_top" TITLE="http://www.kilrushinternetbureau.biz">Kilrush Internet Bureau</A>.</div> <div>   <script type="text/javascript" language="javascript">  </script> <script type="text/javascript" language="javascript" src="http://www.statcounter.com/counter/frames.js"> </script> <noscript> <a href="http://www.statcounter.com" target="_top"><img src="http://www.statcounter.com/counter.php?usr=westclare&java=0" alt="StatCounter - Free Web Tracker and Counter" border="0"/></a> </noscript>   </div> <bR> <bR> </td> </tr></table></body>