Clermont Chamber Testimonial Request Form

Help Us Share Your Story!

We love spotlighting the success and experiences of our members. Please complete the form below to share how the Chamber has made a difference in your business journey.

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* 1. Please provide your information

Business Name

Your Name

Your Title/Role

Your Email

Your Phone (optional)

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* 2. Which Clermont Chamber programs, services, or events have you participated in?

Government Affairs / Advocacy

Business Education

Networking Events

LEAD Clermont Community Leadership Program

Committee (Events + Programs)

Committee (Ambassador)

Board of Directors

Other (please specify)

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* 3. In your own words, how has the Clermont Chamber impacted your business or professional growth?

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* 4. Would you be open to sharing your story in a:

Written Testimonial

Video Testimonial

Either

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* 5. Can we share your testimonial on the following platforms?

Chamber Website

Social Media

E-Newsletter

Print Materials

All of the above

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* 6. I give the Clermont Chamber of Commerce permission to publish and use my testimonial for promotional purposes.

Signature (type your name)

Date

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* 7. How likely is it that you would recommend Clermont Chamber to a friend or colleague?

Not at all likely

Extremely likely