Keokuk Area Chamber of Commerce Board Application
Thank you for your consideration to be on our Chamber Board. Please fill out the below information for review. If you have further questions, please do not hesitate to contact us at 
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Email *
Your name *
Phone number *
Mailing Address *
Employer/Type of Business/Your position(Title)/Services provided *
Work Address/Email *
Preferred method of contact *
Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). Your role and dates served. *
Education/Training/Certificates *
Optional – Have you received any awards or honors that you’d like to mention?
How do you feel Keokuk Area Chamber of Commerce would benefit from your involvement on the Board? *
What areas of interest do you have contributing to the KACC? *
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Keokuk Area Chamber of Commerce.
Please tell us anything else you’d like to share.
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