Complete the form if you have interest in joining this group.

First Name *

Last Name *

Phone *

Email *

Business Name *

Your Business Industry *

Name of the group you request to join?

Did Someone Refer You?

How many meetings have you attended previously?

Signature *

Clear

Todays Date *

I agree to the following:

MEMBERSHIP AGREEMENT: I would like to sign up to be a member of the Elevate Networking Group. By completing this application I understand I have to sign up for one of 3 membership levels for Your Local Referral Networking Group and as a member I will abide by and agree to the member agreement below.
As a member of the Elevate Networking Group, I agree to:
-Attend scheduled meetings regularly and actively participate.
-Support and promote fellow members' businesses when appropriate.
-Maintain professionalism and ethical business practices.
-Abide by the group's policies and guidelines.
-Contribute to a positive and collaborative networking environment. I agree that by providing my contact info, I agree to receive text messages and emails from Your Local Referral and it's groups.