Robins Regional Chamber

2018 BAH Host Application

Please complete the following form to be considered as a host for a 2018 Business After Hours event.

Business/Organization Name *

Business/Organization Location

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Contact Information

First Name *

Last Name *

E-mail Address *

Office Phone # *

Cell Phone #

Preferred Business After Hours event date: *

February 9, 2017 March 9, 2017 June 8, 2017 December 14, 2017

2nd Option *

February 9, 2017 March 9, 2017 June 8, 2017 December 14, 2017

I would like to be contacted in regards to sponsorship opportunities at Business After Hours events *

Yes, I am interested in sponsorship opportunities No, I would not like to receive information about sponsorship opportunities

Verification *

I have read, understand and agree to the Chamber's Business After Hours Guidelines

Business After Hours Guidelines may be viewed here: http://www.robinsregion.com/2017-business-after-hours/

1228 Watson Boulevard
Warner Robins, GA 31093