Your Name
Business Name
What is your Business Category?
Business Phone
Business Email
Address
City
State
Zip Code
Business Mobile Phone
Business Fax
Name of Alternative / Representive
Name as you want it to appear on Name Badge
Birth MONTH and DAY (MM/DD)
MONTH and YEAR Business Established (MM/YY)
Number of Years in Industry?
Type of Business & Description
What do you like most about what you do professionally & what makes your business special?
Why do you want to be a member of the Sedona Referrals Club?
If admitted, how do you think you can help your other SRC members?
Professional Licences Held
Is this a 'Company' held membership? Yes No
First Reference
Name
Phone Number
Email
Second Reference
Share a testimonial describing what a client has said about you. (or create a testimonial describing what your client would say about you)
What does your ideal prospect, customer, target market look like?
Write a brief autobiography describing you and your business to appear on the website.
Business representative face picture to appear on the website.
Sedona Referrals Club is a professional organization dedicated to the highest standards of competence and service. Our purpose is the exchange of qualified business referrals. Members will at all times maintain the highest of professional integrity. One member represents each business category and conflicts of interest are disallowed.
Regular attendance of weekly breakfast meetings Timely payment of monthly dues 2 qualified referrals per month Support business of the month Attendance of monthly mixers
*If admitted to the club I will abide by it's Creed & Commitments. I agree:
If elected into the club the 1st year's (non-refundable) membership dues are $100 and $50/year thereafter. Monthly dues are $65 to be paid to the Treasurer at the first Wednesday of each month.
