LLPNG Application for Membership
This application will be reviewed. You will receive an email with your approval or denial of membership. If you are approved, your approval will also include a link to pay your annual membership fee of $120.00.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Business Name
*
Industry
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does your current category have more than two like businesses?
*
Yes
No
Are you locally owned and not a franchise?
*
Yes
No
You agree to attend 75% of the meetings or have a representative attend. You cannot miss more than three meetings.
*
Yes
No
You agree to bring two networking cards at each meeting referring businesses that you have dealt with. These could either be to join the group if the category is open or be listed in their internal database.
*
Yes
No
By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.
*
I consent
By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.
*
I consent
I do not consent
Submit
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