Greater Fort Wayne Inc. Leads Group Application

Leads Group Application
Is your company a current member of Greater Fort Wayne Inc. or does it have a membership application pending? (If “No,” please submit a GFW Inc. membership application, then return to this application to complete the process. Not sure if you're a member? Search our Business Directory - all GFW Inc. members are listed there.)*

YesNo

Please check the contact information you'd like to have published on the Leads Group Master Roster:*

EmailPhoneI don't want my contact info to be published

Business Industry / Specialty (If you are in the real estate industry, please specify commercial or residential.)*
Please briefly describe the primary responsibilities of your job role.*

Do you need any special accommodations to participate in Leads Group activities? If yes, please describe here:

Optional Referral

Did someone invite you to visit a Leads Group? Please share their information below.
Referral Name

First NameLast Name
Referral Company Name
Referral Phone
Please enter a valid phone number.
Referral Email
example@example.com

Leads Group Preference

Please rank, in order of preference, the Leads Groups you'd like to visit. If a group already has a member from your industry/specialty, please do not include it in your rankings.
First Preference*
First Preference*
Second Preference
Second Preference*

Agreement to Policies and Procedures
I have read and agree to the GFW Inc. Leads Group Policies and Procedures document and understand that I am permitted to visit a maximum of TWO (2) separate meetings between all active leads groups with an opening for my specialty/category in the billing year (January to December) before vote is required for official membership in that group. I understand GFW Inc. staff will strictly enforce that I CANNOT visit/join any Leads Group where the policies or procedures are not followed.
Click to indicate your acceptance of the policies and procedures.*

I agree to the policies and procedures.
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Leads Group Application