First Name *

Last Name *

Organization *

Job Title or Role *

Address

Business Address

City

State

Country

Postal Code

Email *

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.

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Website or Social Media Links *

Preferred Method of Contact *

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 *

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.

I agree to the terms above *

Yes

Signature *

Clear

Date *