Emeritus Membership Application
To be submitted to the Clive Chamber of Commerce Board of Directors for review and approval.
Applicant Information:
Chamber Involvement:
Name of Business or Organization Formerly Represented:
Years of Active Involvement with the Clive Chamber (approximate):
Please describe your involvement and contributions to the Clive Chamber of Commerce:
Include roles served, committees participated in, events supported, or leadership positions held.
Why would you like to be considered for Emeritus Membership?
Nominator (If applicable)
Optional: May be submitted by a third party on behalf of a retiree.
Signature and Submission
Applicant Signature:
Date:
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Month
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Day
Year
Submit
Should be Empty: