Details:
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Your Details Please
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Membership Type:
Payment to:
Helen Williams, Hon. Treasurer, Kilrush Chamber of Commerce, The Square, Kilrush, Co. Clare.
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€75.00 (1-5 staff)
€100.00 (6-15 staff)
€175.00 (16 staff +)
€30.00 Private individual
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www.westclare.com advertisement
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€150 Website Advertisement
€100 Website Advertisement Renewal
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Name:
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Business/Company Name:
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Address:
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Nominated Names (s)
For Company Membership:
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Telephone: Work:
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(065) 90
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Home:
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(065) 90
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Mobile:
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E-mail address (Public):
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E-mail address:
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Website address:
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http://www.
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Business Type:
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Short Link Description
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Main Link Description
(Max 90 Characters)
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Opening Hours:
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Mon-Fri: Half-Day:
Sat:
Sun:
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Membership of Professional Bodies or Organisations. E.g. Bord Failte,
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Kilrush Chamber of Commerce
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Nearest Parking
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Signature:
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Date Paid: Amount: €
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Invoice Number: Receipt No:
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Your Photo
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Telephone: Fax:
E-mail: Web:
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Business Hours: Mon-Fri: Sat: Sun
Open (B & B): All Year or Seasonal:
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VISA/MasterCard/American Express/
Laser Cards: Yes/No
Other:
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Bord Failte:
Other:
Other:
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