Finding solutions and building success...together

Please complete the following questions to determine eligibility in BWAC:

Name:
Company:
Type of Business:
Title:
Phone(nnn-nnn-nnnn):
Email:
Website:
Fax(nnn-nnn-nnnn):
Years of Ownership of Current Business:

Number of Employees:

Number of Independent Contractors:

Annual Revenue:
$25,000.00-$50,000.00 $51,000.00-$75,000.00 $76,000.00-$100,000.00 $101,000.00+

Why are you interested in joining a Business Women's Advisory Council Group?

What do you hope to gain from participating in Business Womens's Advisory Council?

Have you participated in a Mastermind or similar type group in the past?