Chamber CONNECT Group Intake Form

Chamber CONNECT Group Intake Form

Chamber CONNECT Groups are all about building your network in a relationship-based leads group. CONNECT Groups are curated with diverse business leaders from specific industries—meaning you’ll be the only one from your industry in the CONNECT Group! Once the form is submitted, a CONNECT Group leader will contact you within one week.
Name*

First NameLast Name
Email*
example@example.com
Company Name*
Industry*
Job Title*
Have you been in a leads sharing style group before?*

Yes, currentlyYes, in the pastNo
Which group?*
What is your goal or purpose for joining a Chamber CONNECT Group?*
Please provide a brief description.
All CONNECT Groups start between 8:00 and 8:30 am, and typically last one hour. Does your schedule accommodate meeting then?*

YesNo
Are you currently talking with a Chamber CONNECT Group? If so, which one?*

B2B CONNECT GroupBusiness Connect GroupLakeshore Legends GroupGeneration GroupNone of the above
How did you hear about Chamber CONNECT Groups?*

Chamber StaffChamber AmbassadorChamber WebsiteFellow Chamber MemberOther
By filling out this form, you understand that CONNECT Group Members must be members of the West Coast Chamber and follow the attendance policy. Members of CONNECT Groups are expected to be respectful to fellow group members and build trusted relationships with one another. Lastly, members of CONNECT Groups must agree not to be active in any other BNI or Lead networking groups.*

I understand
Please verify that you are human*
Should be Empty: