Membership Application - Chatham Business Social NetworkChatham Business Social Network

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Membership Application

New Member Registration

Are you are a local business owner who is interested in this exciting networking opportunity? Please fill out the form below and we will review the application. Your membership will be voted on by the existing members to avoid conflicts of interest and avoid redundant roles within the group.

About You and Your Business
We need some information to facilitate the approval process and complete your BSN member profile.
Your Name*
First Last
How Do You Want Your Name to Appear Publicly?*
Business Name*
Your Title*
Number of Years You Have Been With the Company*
Business Address*
Eg. 216 King Street W, Chatham Ontario N7M 1E6
Business Phone Number*
Email Address*
Website*
Your BSN Business Category
You must be the only member in our group within your business category to join BSN Chatham ‒ we only allow one member of each category. Please ensure that there is no conflict with our current members before submitting your application for approval.

Each approved member of BSN Chatham fills a unique role within the networking group. Because each member provides a unique service, no one has to compete with others in their field for BSN leads.
Select a Main Business Category ‒ $325 / Year*
Important: The following business categories are already filled by other members
- Website Development
- Massage Therapy / Myomassology
- Restaurant - Retail
- Print / Digital Media
- Chiropractic Care / Acupuncture
- Automotive - Repair
- Financial & Investment Planning
- Non-Profit Organization
- Auto Collision Repair
- Insurance
- Book Keeping - CA
- Maintenance & General Contracting
- Real Estate
- Hotel - Accommodation
- Sign Maintenance & Mfg.
If you are unsure whether your category overlaps with any of the categories on this list, please submit it for approval, and an administrator will review your application at their earliest convenience.
Describe your Main Business*
Please provide us with some details about your business. Please include information such as:
- Is this your full time occupation?
- Does this business have a website, and if so, can you provide a link?
- What services or products does the business provide?
- Any other important details you wish to provide.
Would You Like to Add a Secondary Business Category? ‒ $100 / Year
With this upgrade, an individual member can be the exclusive recipient of leads for two business categories within BSN Chatham.
- Yes
Secondary Business Category*
Describe your Secondary Business*
Please provide us with some details about your business. Please include information such as:
- Is this your full time occupation?
- Does this business have a website, and if so, can you provide a link?
- What services or products does the business provide?
- Any other important details you wish to provide.
References
Please provide at least one professional reference with your application to BSN.
References
Name Phone Email

You may add additional references by clicking on the "plus" button. A maximum of four references is allowed, and only one is required.
User Profile Picture (optional)
If you wish, you may upload a picture of yourself to use for your user profile picture. If you do not have a picture right now, you can leave this field blank and upload your profile picture later.
Accepted file types: jpg, png, gif.
Password For Your Account*
Enter Password Confirm Password

Strength indicator

Use this password, along with your login above to log in to the BSN website.
Name
This field is for validation purposes and should be left unchanged.

New Member Registration

About You and Your Business

Your BSN Business Category

Important: The following business categories are already filled by other members

References