Better Referrals Club - Networking in Burlington, Oakville, Toronto, Hamilton, Niagara, Mississauga

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BRC REFERRAL GROUP REGISTRATION

First and Last Name:
Company Name:
Street Address:
City:	Province	Postal Code
If other location, please list		Email
Telephone:
1st Choice of Category you would like to represent:
2nd Choice of Category you would like to represent:
Preferred Town / City for your BRC group:
Would you be interested in leading a BRC group in your area? Yes No
If Yes, where?:
What are your top 3 strengths you can contribute to the group?
1.
2.
3.
Have you: (please check any that apply) Seen the movie The Secret? Read the Book? Listened to the CD’s?
What are your top 3 reasons for wanting to join the BRC Referral Group?
1.
2.
3.
Which time is better for you to meet? 7:00 – 9:00am 11:30am – 1:30pm
Which day of the week is best for you?
Are you available to meet bi-monthly? Yes No
Are you currently a member of BNI or another referral group? Yes No
Are you currently looking for a referral group to join? Yes No

Your business networking community for Burlington, Oakville, & Mississauga!