Apply for Membership Questionnaire Membership Questionnaire Step 1 of 3 33% Name(Required) First Last Phone(Required)Email(Required) Name of Business(Required)Business Website (if you have one)(Required)Job Title (ex. owner, sales manager, etc.)(Required)Business Industry (ex. print advertising, event planning, plumbing, etc.)(Required) How many years of experience do you have in your field?(Required)How long have you been in business for your current company?(Required)Do you have any special certifications relevant to your job?(Required) Yes No Are you involved with any other exclusive (one-per-industry) networking referral groups? If so, which ones?(Required)Enter NA if not applicable. How did you hear about our group?(Required)What types of businesses are you most hoping to connect with?(Required)Anything else you’d like to tell us about yourself?Comments / Questions