Membership Application

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

Professional References

First Reference

Name

Phone Number

Email

Second Reference

Name

Phone Number

Email

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.
(Size Limit: 3.5mb)

CREED

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.

COMMITMENTS

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 $50 to be paid to the Treasurer at the first Wednesday of each month.