Ambassador Feedback Form Ambassadors are encouraged to share the details of conversations with members, request staff to follow up, and to provide leads/referrals to staff for potential memberships. Type of Communication Member Check-In Communication (in person, phone, etc.) Staff Follow Up Required Potential Member Lead/Referral Other Please select the type of communication you are submitting. Your Name Please provide you first and last name. First Name * Last Name * Date of Contact Format: M/d/yyyy Please let us know when the member/potential member was contacted. Member Contact Name Please provide the first and last name of the person you spoke with or the potential lead. First Name * Last Name * Company Name * Provide the contact's company name. Description of Call, Visit, Lead, etc. * Please share details of interaction, additional contact info for potential leads, etc. Member/Lead Phone Number Please provide the best phone number to follow up with the contact. Do not use any dashes, spaces, parenthesis with the number. Member/Lead Email Please provide an email for the contact.