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Chamber Networking Mixer Host Request Form
Mixers give our members an opportunity to showcase their business and provide a fun environment for the community to come out and network, make new friends and learn more about our local business community!
Business/Organization Name
*
CONTACT INFORMATION
First Name
*
Last Name
*
Title
*
Phone
*
Email
*
Description
*
Image of Host location
Please include a photo of the outside of your business that we could use for promotional purposes for the mixer event.
What year would you like to host a mixer?
*
What month do you prefer to host?
*
Select option...
January
February
March
April
May
June
July
August
September
October
November
December
Note: Mixers are held on the 3rd Thursday of every month
Where do you plan on holding the event?
*
Inside
Outside
Our mixers attract 40-65 members. Will your location accommodate this?
*
Yes
No
Note: This application is only a request to be considered to host a Mixer. It does not guarantee a date. We will contact you to confirm approval and date.