Astoria - Warrenton Area Chamber of Commerce (AWACC) Leaders Circle Application

Title

First Name *

Last Name *

Suffix

Business Name *

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Work Email *

Home Email

Work Phone *

Cell Phone

Preferred Method of Contact

Work Email Home Email Work Phone Cell Phone

Date of Birth

Format: M/d/yyyy

I agree to the following: *

I am a member (or work for a member) in good standing of the Astoria-Warrenton Area Chamber of Commerce.

It is understood that active participation is fundamental to a successful Leaders Circle Committee. As such, I agree to: *

Attend semi-monthly meetings and member tours.. Attend and volunteer for Business After Hours events. Attend Ribbon Cutting events. Refer new potential Chamber members and AWACC Leaders Circle candidates to Membership Director. Volunteer at Crab Festival, Great Columbia Crossing, and UnWined. Contribute knowledge and mentorship to other Leaders Circle members.

Please check all boxes to acknowledge your understanding.

I understand that the AWACC Leaders Circle meetings are the first Wednesday of every other month at 5:30 p.m. Locations will vary. *

Yes

I understand the AWACC Leaders Circle members must be the owner/primary representative or approved by primary representative to participate. *

Yes

Owner / Primary Rep Name if not applicant

Owner / Primary Rep Phone Number if not applicant

I understand that, if selected, I will serve a 90-day probationary period before being fully vested in the Leaders Circle *

Yes

Vest Size

How you would like your name listed on your name tag.

Astoria - Warrenton Area Chamber of Commerce (AWACC) Leaders Circle Application

We are building, maintaining, and encouraging a healthy, diverse and resilient economy.

Astoria-Warrenton Area Chamber of Commerce

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