Membership Form

* Indicates required field

Applicant name *

First

Last

Business name *

Business type *

Business phone number *

E-mail *

Business website address *

Business address *

Line 1

Line 2

City

State

Zip Code

Country

Why did you choose Corporate Connections and what are you hoping to experience in the group? *

Please complete *

I understand that I may only miss 2 meetings without losing my spot. I understand that missing a 3rd meeting means my spot will go to the next person in my industry on the wait list. I understand that I must inform a board member if I will miss a meeting or if I am bringing a guest at least 2 days before a meeting. I understand that I will be paying for my own meal at the meeting. I will support my fellow members and their businesses in any way I can.

Submit

Corporate Connections limits it's memberships to one representative per industry. Please fill out the form below and our board will get back to you as soon as possible regarding availability and approval.