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Membership Application Form
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1
Which chapter are you applying for?
Chicago Chapter
Atlanta Chapter
Houston Chapter
Virtual Chapter
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2
Name
First Name
Last Name
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3
E-mail
example@example.com
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4
Phone Number
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5
Birthday
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Date
Year
Month
Day
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6
Are you apart of The Goalfriendz Facebook community?
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NO
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Are you following @thegoalfriendz on Instagram?
YES
NO
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8
Profession/Title
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9
Business Name (if applicable)
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10
Website
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11
Tell us about yourself
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12
How would you benefit from being a member of The Goalfriendz?
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13
What will you contribute to your chapter?
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What are your top 5 business goals for the next year?
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15
Instagram URL
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16
Facebook URL
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17
Twitter URL
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18
Please upload a high quality photo of yourself or a professional headshot
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19
Members must attend at least 1 event per month (virtual or in person) to remain an active member?
YES
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20
Please note that this is only the first step to becoming a member. Once your application is accepted, a member of our team will email your membership agreement & you must select your plan at that time. (Membership plans start at $29.99/month) Please select YES if you understand.
YES
NO
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21
Signature
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22
Signature Date
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Date
Month
Day
Year
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