Company Name(Required)(Exact company name needed for publication purpose)Address(Required) Street Address Address Line 2 City Postal Code Do you wish to have the business address published in our directory? Yes NoPhoneFaxEmail Website Year Established# of EmployeesContact Name & TitleProducts/ServicesPermission to send your emails? Yes, sign me up for regular communicationsNOTE: The Uxbridge Chamber of Commerce regularly disseminates information, such as meeting dates, notice of the Annual General Meeting and topics of interest, to the membership in several ways, including via our web site, mail and phone. To streamline and simplify this dissemination of information, we would prefer to have contact with you via email.Company ProfileIn 25 words or less, describe your business (Used for all publication purposes)Method of Payment Pay by E-Transfer Pay by ChequePlease send your E-Transfer to [email protected]Please make cheque payable to “Uxbridge Chamber of Commerce" Uxbridge Chamber of Commerce 2 Campbell Drive, Suite 810 Uxbridge, Ontario L9P 0A3 CAPTCHA