Payment for your Sussex Inlet Chamber of Commerce Membership

Please enter information on this form to make payment for Sussex Inlet Chamber of Commerce Membership.

Business Name *

Key Contact Person *

Business Address *

Business Phone *

Mobile Phone *

Business Email *

Website or Facebook Page

Type of Business *

Would like assistance from the Chamber team for;

Marketing

Website Development

Signage

Sussex Rewards

Are you interested in assisting with the events managed by the Chamber? *

Yes

Choose Membership *

1 Year - $60

3 Years - $120

Total Amount

Payment method

Square Card Payment

Billing Postcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Credit or debit card*