Name of Organization *

Number of Employees *

Category of Business - North American Industry Classification System(NAICS) *

Please select the sector classification that best describes your business

Enter required value Agriculture, Forestry, Fishing and Hunting Mining, Quarrying, Oil and Gas Extraction Utilities Construction Manufacturing Wholesale Trade Retail Trade Transportation and Warehousing Information and Cultural Industries Finance and Insurance Real Estate, Rental and Leasing Professional, Scientific and Technical Services Management of Companies and Enterprises Administrative and Support, Waste Management and Remediation Services Educational Services Health Care and Social Assistance Arts, Entertainment and Recreation Accommodation and Food Services Other Services (Except Public Administration) Public Administration

Owner Name *

Primary Contact Name *

Email of Primary Contact *

Phone *

Business Phone Number

Phone *

Cell Phone Number of Primary Contact

Address Line 1 *

Address Line 2

City *

Province *

Enter required value

Postal Code *

Chamber Member *

Are you currently a member of a local Chamber of Commerce? 

Enter required value Gibsons and District Chamber of Commerce Sechelt and District Chamber of Commerce Pender Harbour Chamber of Commerce Not Currently a Member