Chamber Connect Host Form For those who wish to host our signature event, please submit with your preferred dates and someone will contact you confirming your event with us! Your Name First Name * Last Name * Company & Position * Your Company's Address Where the event will be held. 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 * Would your private room or area be able to accommodate a minimum of 75 attendees? Yes No Could space be made available at least 60 minutes prior to the event start time for the Chamber staff to set up? Yes No Preference for your Chamber Connect: * January 29, 2020 March 25, 2020 May 20, 2020 July 29, 2020 October 28, 2020
