New Member Questionnaire - Henderson Chamber of Commerce

Company Name

Phone

Assigned Ambassador's Name

Date of Visit

Primary Contact: Please enter in Last Name, First Name

Title

Email (Primary Contact)

Secondary Contact

Secondary Contact Title

Email (Secondary Contact)

Name of person who handles your marketing

Marketing Rep Email

Number of Employees

Full-time

Part-time

Seasonal Employees (include date range of seasonal employment)

Year business opened

Why did you join the HCC?

What resources or programs are you interested in?

Is there something specific that the HCC can do for your business?

Who is your target customer or client?

Is there a specific HCC Member or Member Business that you would like the HCC to introduce to you? (We will do our best to facilitate an introduction.)

Please mark any that apply to your business
Choose 1

I received my HCC plaque in the mail *

Yes

No

I am receiving HCC Newsletter and Event emails *

Yes

No

I completed my HCC Online Member Directory Profile Page *

Yes

No

I would like to introduce my company to the HCC Members by being an Event Sponsor *

Yes

No

I would like to introduce my company to the HCC Members by using a low-cost advertising tool (as little as $50) *

Yes

No

I follow the HCC using
Select all that apply

Facebook

Twitter

Visiting the Website

Via HCC Eblasts

I am interested in joining the HDA (Henderson Development Association)
Choose 1

I am interested in contributing to IMPAC (Issues Mobilization Political Action Committee)
Choose 1

I am interested in these topics and/or presenters

Questions or comments