Ambassador Form

Date of Contact

Ambassador Contact (First and Last Name)

Type of Contact

In Person Phone Call Email

Partner Business Name

Business Address

Phone

Primary Contact (First and Last Name)

Title of Person Contacted

Email of Person Contacted

Reasons for Joining (Check all that apply)

Please indicate the following type of ownership of your business (check all that apply)

Any Changes to Contact Information?

Tell me about your business. What makes you unique? (Growing? Stale? Declining? Why?)

Have you met with a chamber representative about partnership?

Tell them why you joined the Chamber, then ask them - Why did they join the Chamber?

Would you like information on any of the following Chamber Partner services or promotional benefits? (Check all that apply)

Chamber Advertising/ Low-Cost Marketing Chamber Health Insurance Clearpath Workers Compensation Insurance Sponsorship Opportunities Networking/ Visibility Ribbon Cutting/ Partner Celebration Business Resources (SCKONE/Size Up/Training Consortium) Meeting Space Business Directory/ Referrals

What Chamber Events have you attended? (If they have not attended, invite to the next event. Especially a Chamber 101 if one is coming up.)

Are you receiving Chamber Communications? If yes, which ones do you like? If no, explain why.

Exciting new to share? (Expansions? New Locations? Renovations? Events? Wesbite Changes? Etc.) Any staff changes? (Promotions? Development of new positions?)

Do you have any concerns, suggestions, or questions regarding your Chamber Partnership?

Ambassador New Partner Form

Stay Informed!