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C2B2 Application
Name of Organization applying
Business Address
Website Address (if applicable)
What is your primary business or service category? You may list up to 2.
Who will be attending our weekly meetings on behalf of your organization?
Your position within the company
Email Address
Phone Number
How did you hear about our group?
Do you agree to abide by our Core Values? (Integrity, Excellence, Accountability, Positivity, Growth, Community)
Yes
No
Do you agree to abide by our group rules? (commitment to attend weekly or find a sub, respect for other members, and confidentiality when appropriate)
Yes
No
If approved for membership, dues are $365/year. Will this be acceptable to your organization?
Yes
No
Submit
X
