Your Name

The name of the applicant submitting this order

Email Address

The primary contact email address of the business

Business / Company Name

The name of the business that this application is for


The ABN of the Business / Company

Street Address

The full street address of the business

Postal Address

The postal address of the business (enter “as above” if the same as the Street Address)

Type of business *

Select up to 3 business types that best describe your products/services

Type of business (other)

Please describe your products/services

Phone Number

The primary contact phone number for this business

Mobile Phone Number

Mobile phone number of the business or the applicant

Website Address

The website address of the business

Upload Logo

Upload a high resolution image of your logo. JPG or PNG preferred.

(max file size 128 MB)

Business NSW Local Chamber Alliance membership declaration *

You agree to become a member of Business NSW (within the Local Chamber membership class) and be bound by the Business NSW Constitution which is published at, the Business NSW Membership Terms and Conditions which are published at and the Business NSW Privacy Policy which is published at
Please Note: If you are already a member of Business NSW in a membership class other than the Local Chamber membership class and would like to move to the Local Chamber membership class, then you must first resign your existing membership.



All applications for membership must satisfy the following constitutional requirements of the Business Kingscliff;
a person or a company may be a member provided they are actively engaged in commerce, trade, services, industry, manufacture or tourism.