M-Squad Application

Name *

Email Address *

Work Phone *

Cell Phone

Business/Employer Name *

Job Title *

Business Address *

City *

State *

ZIP *

Birthday (Month/Date) *

How did you hear about the M-Squad? *

If you were referred by someone, please share their name:

Tell us why you'd like to join the M-Squad: *

M-Squad GUIDELINES

To join and remain an active M-Squad Ambassador, one must:

• Be employed by a member of the Midland Chamber or have an individual membership in good standing

• Be supported by your employer in joining M-Squad (a supervisor signature is required)

• Believe in the mission and support the goals of the Chamber

• Represent the Chamber in a positive and professional manner

• Attend at least 30% of scheduled events

• Pay yearly membership dues ($20, billed each October)

• Purchase one of the official M-Squad Uniform options (Blazer - $63+, men's/women's; Scarf - $20, women's)

PAYMENT Details

This application process is not considered complete until the $20 application fee is remitted to the Midland Chamber of Commerce. You will be notified once your application has been processed and approved. Upon acceptance into M-Squad, you will be provided information to order your chosen uniform.

AGREEMENT

I agree to accept the responsibilities and guidelines outlined for M-Squad Ambassadors. I agree to commit the time and effort necessary to become and remain an active M-Squad member.

SIGNATURES

To SIGN on non-touch screens: Left-click and hold your mouse while signing.

To SIGN on touch screens: Use your finger to sign.

REMINDER: An employer's/supervisor's name, title, and signature are also required.

Applicant Signature *

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Employer/Supervisor Name *

Employer/Supervisor Title *

Employer/Supervisor Signature *

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