Potential Member Survey Business NameNameEmail PhoneWhere is your business located?Choose which applies to your business(Required) Interested in membership Not interested in membership Former Member Does your business currently have benefits for your staff? Yes No Yes, but I am looking for a better option examples: dental, vision, etc.What is preventing you from being a member?(Required) Price of Membership I don't have time to attend events and networking opportunities I don't know what the Chamber can do to help my business Other If you clicked other, please put your reason below.Would you like to be contacted by our Chamber to discuss potential membership?(Required) Yes No Δ PrevNext