Business Advocacy Form

First Name

Last Name

Organization

E-Mail

Number of Employees

Please state and define the issue:

What position should the chamber take and why?

Please select the degree of impact your issue will have on each factor below and explain your selection in sufficient detail.

Area Economy	No Impact Minor Impact Major Impact
Description of Impact:

Business Recruitment	No Impact Minor Impact Major Impact
Description of Impact:

Diversity	No Impact Minor Impact Major Impact
Description of Impact:

Education System	No Impact Minor Impact Major Impact
Description of Impact:

Environment	No Impact Minor Impact Major Impact
Description of Impact:

Future Workforce	No Impact Minor Impact Major Impact
Description of Impact:

Small Business	No Impact Minor Impact Major Impact
Description of Impact:

Quality of Life	No Impact Minor Impact Major Impact
Description of Impact:

Tourism	No Impact Minor Impact Major Impact
Description of Impact:

Transportation	No Impact Minor Impact Major Impact
Description of Impact:

Other	Minor Impact Major Impact
Description of Impact:

Please indicate and explain the urgency of the issue:

Your New U.S. Chamber of Commerce Membership