Coffee with Coach RED Scheduling Request
Use this form to schedule your complimentary Coffee with Coach RED featuring our Award Winning Master Business Coach Collette Portis.
Full Name
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First Name
Last Name
Phone Number
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-
Area Code
Phone Number
E-mail
*
example@example.com
Chamber/Organization Name
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How many members does your organization/chamber serve?
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Does your chamber/organization host a regular member meeting?
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Yes
No
How often do you hold these meetings?
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Is your chamber/organization working to increase its membership?
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Yes
No
Who is your primary membership base?
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Small Business
Medium Sized Business
Large Corporations
Which of these groups would you like more of in your membership?
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Please Select
Small Business
Medium Sized Business
Large Corporations
What is the greatest challenge your chamber/organization is facing?
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What are the top 3 issues your members face?
*
Please Select an Appointment Date and Time
*
Additional Information/Comments
SUBMIT REQUEST
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