Amazing Membership Questionnaire
Name
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First Name
Last Name
Organization Name
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Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How are you helping us R.I.S.E.?
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Amazing Friends
Amazing Ambassador
Amazing Circle
Organization logos with transparent background.
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Who is your executive director and/or CEO? Is there anyone else we should make sure to mention as the person we can thank for it organizations community impact?
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Tell us about your organiztion's/company's mission?
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What is the "good" your organiztion/company is doing?
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Tell us what "good" means to you.
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What initiatives should the public be aware of that are available through your organization/company?
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What is the "good" in your organization? What does "good" mean to you?
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What initiatives should the public be aware of are available through your organization/company?
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Tell us one of your most memorable clients who was impacted by the "good" you do?
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What social media platforms would you like to be tagged in coverage?
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Is there anything else you would like to ask about our organization or your new relationships with Amazing 102.5 FM and Bread of Life?
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Would you like to make a visual recording of this questionnaire for future promotions?
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Yes
No
I would like to learn more
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