Burleson Chamber Ambassador Application

Power of Heels
Application
The Power of Heels is the women’s division of the Burleson Area Chamber of Commerce, committed to empowering women in business through professional and personal development and initiatives.

GOALS
- Showcase women-owned and operated businesses.
- Increase visibility of business women in Burleson and the surrounding areas.
- Promote pride of women in the workplace.
- Develop networking opportunities.
POH MEMBER RESPONSIBILITY
1. Company or individual's membership must always be in good standing with the Chamber.
2. There is a $100 initial POH membership fee for the first year which provides you with a POH name badge. Subsequent year's dues of $75 are collected in January.
3. Attendance of bi-monthly meetings, planning committees, and annual events is a mandatory requirement of this group, as outlined in the POH Policies and Procedures.
What level Chamber membership do you hold?:*

Non-profitAffiliateIndividualCommercialFinancial Institution/Utility Company
Business Name:*
Power of Heels Applicant:*

First NameLast Name
(If Company) Applicant's Position Title:*
Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone:*

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:*
Sponsor (Referring POH or Staff Member):

First NameLast Name
Why are you interested in serving as a committee member on the Power of Heels
Participation as a POH Committee member would entail a significant time requirement, investment and commitments towards our mission. Knowing this, what skill set do you bring and how do you feel you could contribute?
By signing and submitting this form, I hereby pledge to promote the Burleson Area Chamber of Commerce and the Power of Heels in a positive manner. I agree to pay the one-time initiation fee of $100 & subsequent dues of $75 each year I remain a Power of Heels.
Signature:*

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