Annual Membership Subscription Form/ Business Database

(Annual Subscriptions Period:  1st January 2007 - 31st December 2007)

If you wish to have a Web Advertisement (€150), please complete details.

Details:
Your Details      Please
Membership Type:
Payment to:
Helen Williams, Hon. Treasurer, Kilrush Chamber of Commerce, The Square, Kilrush, Co. Clare.
  €75.00 (1-5 staff)
  €100.00 (6-15 staff)
  €175.00 (16 staff +)
 €30.00 Private individual
www.westclare.com advertisement
 €150 Website Advertisement
€100 Website Advertisement Renewal
Name:
Business/Company Name:
Address:
Nominated Names (s)
For Company Membership:
Telephone: Work:
(065) 90
                    Home:
(065) 90
Mobile:
E-mail address (Public):
E-mail address:
Website address:
http://www.
Business Type:
Short Link Description
Main Link Description
 (Max 90 Characters)



Opening Hours:
Mon-Fri:                 Half-Day:
Sat:
Sun:   
Membership of Professional Bodies or Organisations. E.g.  Bord Failte,
Kilrush Chamber of Commerce
Nearest Parking
Signature:
Date Paid:           Amount: €
Invoice Number:         Receipt No:

Forward to Helen Williams, Hon. Treasurer, Kilrush Chamber of Commerce,
The Square, Kilrush, Co. Clare.
Download: Chamber 2007 Membership Form

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 Westclare.com Web Advertisement

Please include the following 6-inch/15 cm standard web advertisement on www.westclare.com for the annual period ending 31/12/2006

I enclose €150.

It is recommended that you become a member of Kilrush
Chamber of Commerce. See details above.

     Business Name: (one line)
Proprietor's Name and address: (one line)
Photograph enclosed or I require photograph to be taken.

Your Photo
Description of business/services including directions
 (One/two paragraphs, About 70 words).

Contact:
Telephone:                                 Fax:
E-mail:                                         Web:

Business Times:
Business Hours:      Mon-Fri:            Sat:         Sun
Open (B & B): All Year or Seasonal:                                                                  

Credit Cards Accepted
VISA/MasterCard/American Express/
Laser Cards: Yes/No            
Other:

Web Links to your business or associated sites
Bord Failte:
Other:
Other:
Please Print and forward by post or by e-mail to Kilrush Chamber of Commerce
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Corel Photo House Image

West Clare - One of Ireland's Best Kept Secrets

www.westclare.com

Kilrush Chamber of Commerce
Frances Street, Kilrush, Co. Clare, Ireland.
Telephone: +353 65 905 1061 Fax: +353 65 905 1002
E-mail: Kilrush Chamber of Commerce
Web: www.westclare.com

 ã Copyright 2005. Kilrush Chamber of Commerce. All rights reserved.
Web development by Kilrush Internet Bureau.