Member Spotlight Form "*" indicates required fields Date (Form completed) MM slash DD slash YYYY Business Name* Owner/General Manager Name* First Last Business Phone*Cell Phone of Main Contact*Email* Website Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Service (Description) of Business*What inspired you to choose this type of Business?*Was there any background you had, to help in starting this business?*Did you need certain skills/education?*What makes your Organization/Business special/different: (Sometimes there are multiple businesses that are similar in the area)*What would you like people to know about your Business:*Favorite thing about being a Nanuet Chamber Member:*How can people find out more about your Business:*Upload a picture of yourself and/or your business Drop files here or Select files Max. file size: 300 MB, Max. files: 3. Please limit the size of the image files.Please include any social media links: Add RemoveHit the plus sign to the right to add up to 5 linksAny Additional Comments or Notes:e.g. Store hours, etc Consent* Member grants the Nanuet Chamber permission to use their name (and/or Business name), photo and quote in publicity and on our websiteSignature* By electronically signing this form you are verifying that the information submitted is accurate and complete.
