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New Member Referral Form
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1.
Name:
(Required.)
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2.
Title
(Required.)
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3.
Email:
(Required.)
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4.
Company Name
(Required.)
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5.
Phone
(Required.)
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6.
Tell us a little bit about what your company does
(Required.)
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7.
How many employees do you have?
(Required.)
1-9
10-24
25-49
50-199
200+
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8.
What is your annual revenue?
(Required.)
Less than 1Mil
1-10Mil
10-50Mil
50Mil+
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9.
Can you share some of your goals for joining BC Tech?
(Required.)
*
10.
Which BC Tech Member referred you for membership?
(Required.)
Referring Company
Referring Contact Name
Referring Contact Email
