CC Membership Information Form

Please allow 30 minutes to complete this form in one session.

First Name: *

Tag First & Last Name *

Business Name: *

Last Name: *

Birthday - Month / Day *

Your Title: *

Anniversary of your Business (MM/DD/Year) *

Area of Expertise: *

Business Phone:

Mobile Phone:

Mailing Address:

City:

State:

Zip Code:

Website:

Email:

Please provide your Social Media links:

Facebook link:

Twitter link:

Instagram link:

YouTube link:

LinkedIn link:

Pinterest link:

Upload large Professional Headshot *

Image files only are accepted, JPEG,JPG,PNG - Ideal Image Size 800px by 800px

Choose File

Upload your Business Banner

Image files only are accepted, JPEG,JPG,PNG - Ideal Image Size 1640px x 924px

Choose File

Embed a video - provide YouTube or vimeo link:

What is your profession? (be as specific as possible):

How do you describe your dream client or customer?

When members do a search, what specific key words or phrases would lead to you?

Do you have an offer or discount specifically for Exceptional Connection members? (If so, what?)

If any, what are your geographic restrictions to your products/services/offers? What do you consider your sales territory?

If you would like to have even more meaningful and powerful ways to connect with other Exceptional Connections Members, please answer the following:

What are your accomplishments (awards, books, awards, professional designations)?

What are you passionate about?

What are your hobbies or outside interests?

Are you involved in any charity or community service that you want others to be aware of?

Is there anything else about you, or your business you would like to share?

I love Exceptional Connections because...

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Lynwood, WA

Featured Events

Spotlight Speaker Directory

Business Member Directory

Please allow 30 minutes to complete this form in one session.

Please provide your Social Media links:

If you would like to have even more meaningful and powerful ways to connect with other Exceptional Connections Members, please answer the following:

Your Membership profile submission needs to be approved before it is published on our EC website.

Exceptional Connections® Headquarters Mailing Address

LYNNWOOD, WA CHAPTER IN-PERSON NETWORKING EVENTS:

Lynwood, WA

Featured Events

Spotlight Speaker Directory

Business Member Directory

Champion Membership Information Form

Please allow 30 minutes to complete this form in one session.

Please provide your Social Media links:

If you would like to have even more meaningful and powerful ways to connect with other Exceptional Connections Members, please answer the following:

Your Membership profile submission needs to be approved before it is published on our EC website.

Exceptional Connections® Headquarters Mailing Address

LYNNWOOD, WA CHAPTER IN-PERSON NETWORKING EVENTS: