Apply for Membership.

Interested in joining as a member? Fill out some info and we will be in touch shortly! We can't wait to hear from you!

Name

First Name

Last Name

Title / Role

Business Name

industry / Profession

Phone

(###)

###

####

Website

http://

BUSINESS DETAILS:

Brief description of your business

Geographic area you serve

Years in business

NETWORKING GOALS

Why are you interested in joining this networking group?

What do you hope to gain from membership?

What value do you feel you can bring to the group?

COMMITMENT & PARTICIPATION

Are you willing to attend meetings regularly?

Are you open to 1:1 meetings with other members to build relationships?

Would you be willing to volunteer for group initiatives or events?

REFERRAL & COLLABORATION

Who is your ideal client or referral?

What other types of professionals/businesses would you like to connect with?

FUN / PERSONAL (Optional)

What’s a fun fact about you?

Favorite local spot for coffee/lunch?

One hobby or passion outside of work?

Glenside Business Alliance