Name:________________________________________________________________________

Business Name:________________________________________________________________

Position:______________________________________________________________________

Address:______________________________________________________________________

Telephone:____________FAX______________e-mail_______________Cell_______________

Business Action Committee Statement:

"The Business Action Committee promotes the growth and development of the

Henderson Chamber of Commerce business community both large and small"

Business Action Committee Goals Statement:

The Goal of the Business Action Committee is to provide networking opportunities to the Henderson Chamber of Commerce membership. One method of doing this is by planning and chairing the Monthly Mixer, another is to provide general information to the businesses who are members of the Henderson Chamber of Commerce.

1. I will attend the monthly Business Action Committee meetings.____

2. I will attend and or help with the monthly mixers.____________

3. I will assist with an annual fund-raising event for the Henderson Chamber of Commerce

________________________________________________________________.

4. I would like to serve on the Business Action Committee because:

__________________________________________________________________________

__________________________________________________________________________

5. I understand the commitments of a Business Action Committee member? ____________

6. I understand that if I miss three consecutive un-excused Business Action Committee meetings, I will automatically be dropped from the Council roster.

Signature:________________________________

Date:____________________________________