Affiliate Renewal

Please fill out the form below to activate your Chamber Affiliation for 2025/26.

Renewal or new affiliate? *RenewalNew affiliate

Business name *

ABN *

First Name *

Last Name *

Position

Street Address *

Town *

Postal Address

Business Phone *

Mobile *

Business email *

Admin email

Website url

Facebook url

Instagram url

Please indicate if you are willing for your business details to be used for Loxton Chamber of Commerce activities. The details will only be used to assist with providing the services and benefits of your affiliation. *YesNo

AFFILIATE RATE
$299
+ an additional 3% charge for Paypal/Credit Card fees

Membership fee

$

Please do not fill in this field.

Location

OFFICE
Lot 7, Bookpurnong Terrace, Loxton
(facing the roundabout)
POSTAL
PO Box 999 – LOXTON SA 5333

Contact

Sonya Altschwager
Business & Events Manager
admin@loxtonchamber.com.au

#loxtonsa #eastterraceloxton

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