Community Connect Network Membership Application

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Community Connect Network Membership Application

https://www.starkccn.com/

Full Name

Business Name *

Business Street Address *

City, State, Zip *

Phone Number *

E-mail Address *

Website (if applicable)

Briefly describe your business and services offered.

What is your ideal referral? Describe your target client or business partner.

Are you currently participating in any other networking groups? If yes, which groups? *

Member dues are $300/year. Choose an option: *

Cash

Check

Self-deposit (see Brittany for account information)

Membership Commitment

I understand that my membership dues of $300 per year are non-refundable.

I commit to attending at least one meeting per month to maintain active status.

I understand that only one member per profession is allowed in the group, and my seat is exclusive as long as I agree to actively give and receive referrals and contribute to the growth of the network.

I understand that the Board reserves the right not to renew a member at the end of the membership period.

Required

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