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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
Please select the type of communication you are submitting.
Your Name
Please provide you first and last name.
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.
Provide the contact's company name.
Please share details of interaction, additional contact info for potential leads, etc.
Please provide the best phone number to follow up with the contact. Do not use any dashes, spaces, parenthesis with the number.
Please provide an email for the contact.