Ambassador Interest Form
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Name of a charity you would like to support. (This can be added or changed later.)
How many businesses and nonprofits do you estimate you can personally introduce?
*
1 - 9
20 - 24
25 or More
* Preferably, these are organizations with 10 or more W2 employees, but less than 500 full time as of 2019.
Do you know an association or company that serves a significant number of businesses or nonprofits with 10 or more employees?
*
Yes
No
Possibly
Are you a member of the Chesterfield Chamber of Commerce?
*
Yes
No
Anything else you would like us to know?
Asterisk
(*)
fields are required.