0-Test-2

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"*" indicates required fields

Please enter your full name:*

Your Company Name:*

Best Email Address:*

Cell Phone:*

Number of Employees or Contractors (please note which)*

Year your business was established:*

Ownership Percentage:*

Please provide a personal bio (225 words or less)*

Describe your day-to-day role in your company:*

Why EO? What do you hope to get from your membership or the primary purpose of your interest in EO besides social/networking events?*

Is this your first business? Did you start as a founder or a co-founder? Was it purchased or something else? Please explain.*

How would you describe your business to a grandparent? (i.e. You're at Thanksgiving and a Grandmother asks you what your company does.)*

What other organizations do you belong to, if any? And if so, have you served on any boards? (Such as business, spiritual or religious institutions, non-profits, community boards)*

What are one or two books you've read in the last year that have impacted you, and why?*

From where you sit today, could you ever see yourself being interested in exploring a leadership position in our chapter? If not, why?*

What is one thing you would bring to the chapter as a unique value-add to enhance the other members' experiences?*

Annual Revenue

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