» Membership Booking Form

Membership Booking and Renewal Form

Name *

Surname *

Position *

Business Name *

ABN / ACN *

Address *

Suburb *

State *

Postcode *

Country *

Phone

Mobile *

Fax

Email *

Website/URL

Booking Details – Please select applicable.

Member Level Booking

Platinum Member Ad Setting

I will keep the same ad all year OR

I will provide new artwork for the following quarters:

Quarters *

Qtr 1

Qtr 2

Qtr 3

Qtr 4

Membership Renewal

CPBC Invoice Number

(If Provided)

Select Business Category (1 or more) *

A Directory List of CPBC Members

Accommodation & Travel

Accounting Bookkeeping Business Services

Animal Care

Automotive & Fuel

Banking & Financial Services

Building, Trades and Services

Business Services

Childcare

Cleaning

Clothing

Clubs

Education, Schools, Training

Entertainment

Government Community Councils

Graphic Design / Print / Media

Hair & Beauty

Health & Medical

Legal

Manufacturing

Online & Home Business

Real Estate and Property Services

Religious Services

Repairs & Maintenance

Restaurants Eateries

Social enterprise

Sole Traders

Sport & Recreation

Transport, Postal and Warehousing

Wholesale & Retail

OtherOther

Checklist

Artwork

I will upload my artwork now

I am supplying / have supplied my high resolution jpg artwork at 100% by email.

Artwork dimensions: 700 pixels (W) x 310 pixels (H) which is 593 mm x 262 mm

File Upload *

Maximum upload size: 2MB

Booking and Material Deadlines (please tick all that apply)

Month

Jan - Mar (Qtr 1)

Apr - Jun (Qtr 2)

Jul -Sep (Qtr 3)

Oct - Dec (Qtr 4)

Qtr	Booking Deadline	Material Deadline	Published Date*
1	1st week of Dec	2nd week of Dec	2nd week of Jan
2	1st week of Mar	2nd week of March	1st week of Apr
3	1st week of Jun	2nd week of June	1st week of Jul
4	1st week of Sep	2nd week of Sep	1st week of Oct

Payment Details

Items Ordered

Your order(s) will be listed below.

Booking Level

Membership

Payment Method *

I am paying by Credit Card

I am paying by direct deposit to CBA account No 062 128 – 103 356 59.

I am paying by cheque, to be sent to: CPBC Treasurer, PO Box 351, Croydon Park, NSW 2133

Please clearly mark your payment reference with your business name and send transaction report via email to CPBC Treasurer

Send details to NSW Business Chambers

Please tick if you would like us to pass on your details to NSW Business Chamber, to take advantage of their benefits, which are included in your CPBC membership fee.

I agree to receive marketing communications by email

I agree to the terms and conditions *

I agree to the terms and conditions*

Terms & Conditions

All artwork to be supplied in Hi Res jpg by the Material Deadline outlined above.
Ads will run for the quarter booked, and any changes during this time will incur a fee/cost.
If advertising for multiple quarters, new artwork must be supplied by the Material Deadline for each quarter.
Advertising fees must be paid in full within 7 days of booking, to meet advertising Published Dates outlined above.
Advertisers are fully responsible for final artwork content and proofing. CPBC will not be held responsible for errors in supplied artwork.
Membership form must be filled in and accompany your Advert Booking Form.

Total Cost $

Credit Card Payment

First Name *

Last Name *

Credit Card Number *

Credit Card Number

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Click on Submit button to complete payment

Click on submit to receive an email copy of your application including payment instructions.