"*" 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$1MM$250k-$1MM
