Ambassadors Application Ambassadors Application Name* First Last Busiess Name*Your Title*Email* Phone Numbers*NumberType (Cell, Home, Work, etc.) Business Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please check the Chamber events in which you would like to volunteer, or committees you would like to serve on or chair: Education Committee Art & Wine Festival Marketing Committee Government Affairs Committee Awards Gala Membership Committee Christmas Tree Lighting Festival Signature*I have read the Scotts Valley Chamber Policies, Procedures and By-Laws.