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Community Connections & Accountability Hub
Community Partner Interest Form
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Community Partner Interest Form
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Website
http://
Please tell us about yourself
*
What products or services do you offer?
How will your company help our members?
Are you interested in any of the following?
Facilitating a Workshop
Being featured in a Media Campaign
Speaking opportunities
Travel/ Retreat opportunities
Real Estate Investors Circle
CEO and Profit Circle
Sponsorship Opportunities
Attending a private intimate Masterclass
Do you have two high resolution professional headshots readily available?
Do you have a professional bio readily available?
Are you currently accepting new clients?
Are you in a position to pay the one time $500 partner fee if your mission is in alignment with ours?
How did you hear about us?
Why does this opportunity appeal to you?
Thank you!