Community Connection Inquiry Form YOUR INFORMATION Please fill out your contact information. Name (First, Last) * Email * Phone Number * Will you be in attendance of this Community Connection? * Yes No BUSINESS INFORMATION Please fill out information for the business or organization inquiring for a Ribbon Cutting Business Name * Website Address Block - US Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code COMMUNITY CONNECTION DETAILS Please select all that apply: * Event Open House New Business Relocation Renovation Expansion Other If 'other', please elaborate. What are your top three ideal dates for your Community Connection? Is there significance behind these dates? * Please keep in mind, all Community Connections MUST be scheduled a minimum of 6 weeks in advance and all additional details for the event must be fully confirmed a minimum of 1 week prior to the event date. What time would your Ribbon Cutting begin? * 4:30p 5:00p 5:30p Other Community Connections are most successful when held in the evening, as it allows more community members to participate. However, if you have a specific event or activity that requires an earlier time, please select 'Other' and provide the details in the notes section at the end of this form. Will you be hosting a small open house in addition to your Community Connection event? If yes, please give details for this here. Food? Door Prizes/Raffle? Etc. Please provide a small description paragraph about your event, this will be used in public marketing materials and promotion of your Community Connection. This description is subject to change based on the marketing material it's being distributed through. Are there any additional notes or details that The Chamber should be aware of for your Community Connection? Please upload a high resolution logo for our marketing material. * Thank you for filling out our Community Connection Inquiry Form! What's next? Someone from the Chamber will be in touch shortly to schedule your date, and provide you with a Community Connection Agreement.
