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Membership Application - Professional Networking Group

First Name*

Last Name*

Preferred Name/Nickname:

Email*

Phone Number*

Professional Profile

Group Name*

Current Job Title*

Company/Organization*

Website URL*

Industry/Field*

LinkedIn Profile*

Business Address*

City*

Select State *

Zip Code*

Country*

Networking Goals

What are your main objectives for joining our professional networking group?*

What type of professionals or industries are you particularly interested in connecting with?*

Value Exchange

What value do you believe you can offer to other members of our networking group?*

Membership Commitment

Are you committed to actively participating in our networking events and contributing positively to the group?*

Yes No

Expectations

What do you expect to gain from being a member of our professional networking group?*

Referral Collaboration

Are you open to collaborating on referrals and mutually beneficial partnerships with other members?*

Yes No

Additional Comments

Declaration

By submitting this application, I acknowledge that the information provided is accurate and complete to the best of my knowledge. I understand that my application will be reviewed by the membership committee, and if accepted, I commit to abiding by the guidelines and values of our professional networking group.*

Full Name*

Date*

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I Agree to Privacy Terms *

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