Chamber Legacy Member Recognition Form

Some relationships are worth celebrating! We'll recognize Chamber members marking milestone anniversaries and thank them for their longstanding commitment to Fremont's business community.

The Chamber will recognize members at the Gala as follows:

3 Consecutive Years — Certificate of Recognition
5 Consecutive Years — Plaque
10 Consecutive Years — Premium Wood Plaque
15 Consecutive Years — Crystal Plaque
20 Consecutive Years — Premium Crystal Plaque
25+ Consecutive Years — Gold Legacy Member Plaque

You'll be able to note your membership information when you register.

Fields marked with an * are required.

First Name *

Last Name *

Organization *

Phone *

Years of Fremont Chamber membership *

Comments

Please let us know when your Fremont Chamber membership began (dd/mm/yyyy)

Please verify that you have checked the “I'm not a robot” checkbox.