Membership Application

First Name

Last Name

Organization

Job Title or Role

Business Address

City

Postal Code

Phone

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.

Yes

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.

Yes

Website or Social Media Links

Preferred Method of Contact

Email Phone Text

Business Information

Brief description of your business including what you offer and who you serve

Industry or Category

Years in Business

Service Area local regional national etc

Company Logo

Are you currently a member of any other networking groups If yes which ones?

Fit and Values

What attracted you to Longview Connections?

What does Longview Connections Community Over Competition mean to you?

Are you willing to prioritize fellow members when seeking products or services?

How do you see yourself contributing to the growth and success of other members in the group?

Are you open to referring business to fellow members when appropriate?

Engagement and Participation

Are you able to attend regular meetings and events?

Are you willing to participate in group volunteering efforts on a regular basis?

Are you interested in serving on a committee or helping with events in the future yes no maybe?

Membership Agreement

By submitting this application I affirm that the information provided is accurate and complete. I understand that membership is contingent upon alignment with Longview Connections values and mission and that active participation is expected to foster a strong supportive network. I agree to uphold the principle of Longview Connections Community Over Competition and support my fellow members to the best of my ability.

Yes

Signature

By checking this box, you confirm that it serves as your electronic signature and that all information provided is accurate.

Full Name

Date

Membership Application

Community · Over · Competition