Membership Application Form

By submitting this form you agree to be bound by and observe the Constitution (copy available from office) and give permission for your registered business name to be listed in Chamber publications, website and Facebook page.
You can see the benefits of joining the Rockingham Kwinana Chamber of Commerce by clicking here >>

* = Required

Business Details

Additional InformationABN:

Number of Employees

How many years have you been trading?

What’s the nature of your business?

User Registration

Select Membership Level and Pay

Terms & Conditions Statement: Data submitted through this form will be used for the purpose of creating your directory listing. Please see our Privacy Policy for more information on how we protect and manage your data.