Membership Number:

SCOTTSDALE   ALLIANCE   NETWORKING CHAPTER

APPLICATION
Please Print

Part 1   (Please complete all questions)                                                                                                                                                                          

                                                                                      Birth Month and Day: ___________________________________

Date:

E-Mail Address:

Name:

Work Phone:

Business Name:

Cell Phone:

Business Address:

Fax Number:

City:

ST:

Zip:

Sponsor’s Name:

Website Address and Description (60 words or less):

Part 2                                         APPLICATION PROCEDURES

  1. You are able to attend the meeting three times as a guest to get to know the format and the other members.     If, at the third meeting you are interested in becoming a member of the networking group, please complete this application, attach your check for membership dues and submit it to a member of the Membership Committee for review.     Fees are not cashed if membership is declined.
  2. The Membership Committee completes the screening process for potential membership and notifies you and your sponsor of acceptance or non-acceptance before the next meeting.
  3. New members are announced at the next scheduled meeting.     WELCOME!

Part 3                                                       BACKGROUND

Experience in Field or Occupation including education:

Part 4                                                       MORE ABOUT YOU

1.     Is your occupation full or part- time?

2.     Can you commit to a regular weekly

       meeting   from 7:15 to 8:45am?

3.     What to expect to contribute to the

        meeting ?

4.     What is your ability to bring referrals

        and   visitors to this meeting?

5.     Do you are have you ever belonged

        to   other networking organizations?

Part 5                                                       REFERRALS

List Business References:

1.

Name:

Position:

 

Business:

Phone:

 

Business Relationship:

 

2.

Name:

Position:

 

Business:

Phone:

 

Business Relationship:

 

Business Code of Ethics

  1. I will strive to provide the quality of services at the prices that I have quoted.
  2. I will be truthful with the members and their referrals.
  3. I will build goodwill and trust among members and their referrals.
  4. I will take responsibility for following up on the referrals I receive.
  5. I will display a positive & supportive attitude with chapter members.
  6. I will live up to the ethical standards of my profession.

I have read, understand and agree to the Membership Guidelines and will forever hold harmless all members and officers of SANG from any liability arising from the actions and duties related to SANG.

__________________________________________

                                                                                                                                  Applicant Signature

Part 6                                         Credit or Debit Card   Information     -   Required

Circle card type:                        Visa                    Mastercard                      Discover

  Card Number:

Expiration Date (MM/YY):

CVV2/CVC2 (3 digits on back):

Billing address for Credit/Debit Card:

City, State and Zip:

Would you like e-mail receipt for payment?

 

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