Diplomat Name *

Visit Type *

Is this an active member or member lead?

Enter required value Chamber Member Member Lead

Business Name *

Please put the business you are visiting.

Date of visit *

Method of contact *

In Person

Phone call

Email

Other

Who did you meet with and what did you learn? *

Please give a brief summary of visit, and the name of the person you spoke with

Updates

Please let us know what changes, if any, need to be updated.

Who is the Billing Contact?

A name, with a physical address and/or email address would be great!

Who is the Primary Contact for this Business?

Who should be receiving correspondence about Bossier Chamber events, marketing opportunities, etc.?

Updates to member profile needed *

Yes

No

Follow-up required