Become a Member

Membership Application Form

Company/Business Name (required):

Trading as (if applicable):

Address (required):

Invoice Address (if different from above):

Phone Number (required):

Email (required):

Website:

Facebook:

Twitter:

Number of Employees (required):

Company/Business Description (required):

Do you export? (required):

Management Contact

We regularly contact our members on topics and events. To ensure we reach the right person please complete contact details below. Membership should benefit all employees in your company, so we encourage you to list as many contacts as you wish to receive emails from Athlone Chamber to keep up to date with Chamber & Members’ news, events, special offers for your company and for your employees.

DATA PROTECTION POLICY: Athlone Chamber does not share member contact information with any third parties. From time to time, Athlone Chamber may contact you with information and offers regarding upcoming events, products or services that are directly related to your membership.

Primary Contact: Email:

CEO/MD/Owner: Email:

Accounts/Other: Email:

Membership Subscription

Please note that your membership subscription is based on the number of employees and length of your subscription. Our membership year runs for 12 months from the month of joining.

Type of Membership (required):

Payment Information

Payment can be made by cheque or bank transfer.

Bank Name: AIB

Bank Address: 1 Custume Place, Athlone, Co. Westmeath

Account Name: Athlone Chamber of Commerce

IBAN: IE74 AIBK 9322 6407 3800 61

BIC: AIBKIE2D