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THIS SECTION TO BE COMPLETED BY PROSPECTIVE MEMBER |
Today's Date:
Applicant's Firm Name:
Phone:
Fax:
Cell:
Email:
Address:
City:
State:
Zip:
Applicant's Website:
Representative(s) attending meetings:
(Name)
(Title)
(Name)
(Title)
Are you the executive decision maker?YesNo
Are you the actual owner of the business?Yes
No
Can proposed member attend the
weekly meetings on a consistent and regular basis?
Yes
No
Have you been advised on the
rules and guidelines on MABE?Yes
No
Have you
been advised of dues and
initiation fees?Yes
No
What is the nature of your business?
How long in business at the above location?
Any additional locations? (If yes,
please list)
Do you belong to any other "leads clubs" type
organizations or have you in the past?
(If yes, please list)
How can the other members best serve you?
If the proposing member is completing their part of the
application at a later time,
please skip to the bottom of this
form and click on the SUBMIT button.
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THIS SECTION TO BE COMPLETED BY PROPOSING MEMBER |
Proposing Member:
Prospective Member:
Category Prospective Member Would
Fill:
Date Prospect Visited Group:
How long has sponsoring member known this
proposed member?
How well do you know firm and
representative?
What makes this proposed member superior to
its competition?
In what way(s) does the proposed member's
business stand out from its competition?
How would sponsoring member rate proposed
member's business reputation and ethics?
(Case History) (A
1-2 word response of excellent or very good does not apply)
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