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Member of the Month Nomination

Your First Name
Your Last Name
Your Email
Your Phone

I Am Nominating

Company/Organization Name
First & Last Name
Contact Phone
Contact Email

How long have they been a Chamber member?:
Do they belong to any Councils, Committees, Board or Leads Group?: If yes, please name as many as you are aware of.
Have they sponsored any Chamber events or programs? If yes, please name.
Reason for Nomination: