Membership & Marketing Assesment Form

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Investing in the Chamber is a significant choice. Your information will be kept private. Understanding that each business is unique, we value your specific requirements. Kindly fill out our brief questionnaire, and we’ll promptly follow up. Please book a 15-minute consultation meeting after submitting the form.

Link: https://surpriseregionalchamberofcommerce.pipedrive.com/scheduler/Y8opOJHe/meeting

First Name

Mobile Number (if we have questions, and to send you follow-up info via sms message)

Company Name

Your Title or Position?

Primary Target Audience

Individual or Consumers: B-2-C (Business to Consumer)

Businesses: B-2-B (Business to Business)

What best describes your business phase? (Select only one)

Start-Up

Existence Mode, Survival, Potential for Failure

Growing and Profitable

Mature (minimal competion)

Mature (intense competion)

Declining, Re-Birth or Re-postioning

How many FTE employees are in your business? (employees who receive a W-2's)

No employees under me

1-2

3-9

10-49

50-99

100-499

500+

Do any of the following situations apply to your business? (check all that apply)

Have some important and/or on-going legislative issues or concerns in our industry

Expanding our marketing area into the West Valley

Launching a new product or service

Need to re-brand or reposition our product or service

We are opening up a new business (Brick and Mortar)

What is your estimated annual sales volume?

Less than $99K

$100K to $499K

$500K to $999K

$1 Million to $5 Million

$5 Million +

How do you currently market your product of services?

TV, Radio

Social Media /Internet/Website

Event Marketing (Direct to Consumer Shows, Trade-Shows, etc)

Print Media (newspaper/magazine)

Public Relations (Free Public Service Announcement, editorials, etc)

Direct Marketing ( Direct Mail, Telemarketing)

Personal Selling (face-to-face)

Other Comments

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