Broomfield Chamber Ambassador Program Application Date * Format: MM/dd/yy Name Block - Simple First Name * Last Name * Business Name * Business Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Best Phone Number * Email Address * Ambassador Agreement and Acknowledgment As a representative of the Broomfield Chamber Ambassador/Membership Services Program, I acknowledge that I have read the Broomfield Chamber Ambassador/Membership Services Guidelines. I understand that the guidelines have been designed to serve the Chamber membership as a whole. Please read and agree to all statements. As a member of the Broomfield Chamber Ambassador Program, I will: Ambassador Statements * I Agree · Attend the monthly Ambassador Meetings with no more than two unexcused absences in a year (January 1 – December 31). I Agree · Make decisions regarding the program processes for Chamber members that are based upon “the greater good,” not on individual interests. I Agree · Not be in a position of authority in any other Chamber that requires participating in the decision making process or acting in an Ambassador-type role. I Agree · Promote the “I Have an Idea” form to all members to generate additional opportunities for programs that will provide a Return on Involvement. I Agree · Maintain neutrality regarding political candidates when working as an Ambassador. I Agree · Support and adhere to decisions made by the Ambassadors as a whole, the Chamber’s President/CEO, and the Chamber staff liaison, regardless of individual feelings or opinions. I Agree · Maintain my membership in good standing by prompt payment of my Chamber dues. I Agree · Consistently and positively promote the Broomfield Chamber, Chamber staff, and Chamber members. I Agree Electronic Signature * By placing my name in this space and submitting this form, I am agreeing to the rules and guidelines of the Broomfield Chamber Ambassador Program, and I am applying for membership.