2019 Wetumpka Area Chamber Ambassador Application

Name: (required)

Title:

Business Name:

Business Address:
Business Phone:

Business Fax:

Home Phone:

Cell Phone:
ZIP:
Email: (required)

LIST OF CURRENT INVOLVEMENT / ACTIVITIES:

Are you Receiving the Chamber E-News Letters?
YesNo
Are you Connected to the Chamber on Facebook?
YesNo
Do you serve on any other Chamber Committee?
YesNo