Membership Application Form - Danish Canadian Chamber of Commerce

Birds, Toronto Waterfront - photograph by Arnold Matthews ©2002

Note: You may apply for membership on-line by filling in the form below and submitting it.

If you wish to update your member information yourself in the future, you must choose both a username and a password when filling in the form below.

You may also print a membership application form or update your personal information (if you have used a username and password.)



	Print application form, then mail or fax
	Update your personal information

Username (max 16 chars):	Needed for updating information yourself
Password (between 4 and 16 chars):	Needed for updating information yourself
Confirm password:

Surname:
First Name:
Title:
Home Telephone: (optional)
Direct email : (optional)
Additional Name (for corporate use)
Surname 2:
First Name 2:
Title 2:
Home Telephone 2: (optional)
Direct email 2: (optional)

Company:
Address:
City:
Province:
Postal Code:
Country:

Email Address:
Business Telephone:	ext:
Corporate Website:
Fax:
Mobile Telephone:

Brief description of your business and your connection to the Danish/Canadian trade or industry:

Sponsor Member Corporate Member Individual Member

Membership fees: Sponsor $750 Corporate $400 Individual $95

Payment may be made by sending a cheque to:

Danish Canadian Chamber of Commerce,
New address: To be announced

Check if you wish to have membership information sent to you

Mr. Anders Fisker. Chairman
Danish Canadian Chamber of Commerce
(New address to be updated)

T 416.923.1811 C 416.606.3111 E info@dccc.ca