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1. Name of Chamber

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2. Location (City or Town)

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3. Email address

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4. Cellphone number

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5. Telephone number 

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6. How many Members does your chamber have

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7. For how long has your chamber existed?

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8. What are the top three economic sectors your members represent?

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9. How diverse is your membership?

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10. Do you have a website? If yes, please specify the web address

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11. Does your chamber use Social media?  If yes please include your @handle

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12. Does your chamber engage regularly with your municipality to enhance the pro-business climate?

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13. Rank the top three factors that have impeded your members business, with 1 being the highest impediment

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14. I give the SBI permission to send me their mail.

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15. I have signed the BLSA integrity pledge

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