SoCal IT Roundtable Online Application

1 Basic Information

2 Member Details

3 Business Details

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Expected Attendance*
Regular attendance at our biweekly (2nd and 4th Wednesday of the month) breakfast meetings is essential for you to contribute and realize value from the RoundTable. What percentage of the breakfast meetings do you realistically expect you can attend?
Alternate Member*
Please designate an Alternate Member from your firm who can attend meetings in your absence. Please note there is no additional charge for the Alternate Member, and alternate members can attend meetings alongside the Regular Member.
Referrals*
Please enter a number greater than or equal to 0.
The primary purpose of the RoundTable is to make introductions and exchange business referrals. Members who refer business to others contribute and realize the most value from the RoundTable. In the past 12 months, approximately how many introductions have you made to other firms that have resulted in closed business for those firms?
In which market segments are the firms that you currently refer business to?*
In the past 12 months, what is the top-line revenue for which you are personally responsible?*
Approximately what percentage of your production is related to the acquisition of new business?*
Sales “hunters” and “farmers” can both contribute and benefit from participating in the RoundTable.

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