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Chamber Board member application form
We appreciate your interest in serving as a Chamber board member.
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* Indicates required question
Name
*
First and last name
Your answer
Business name
*
Your answer
Title or position
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Did a current board member refer you?
*
Yes
No
Required
Referring board member name
Your answer
Is your business or current employer a Chamber member?
*
Yes
No
Please include any past participation with the Henry County or any other Chambers. This could be board members, committee, event volunteer, event attendee etc.
Your answer
Why is being part of the Chamber board important to you and your business/employer.
Your answer
Do you have any additional comments that you would like the Chamber nominating committee to know?
Your answer
Thank you for submitting your application
A member of the nominating committee will contact you.
If you have any questions please contact the Chamber office at 765-529-5210.
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