Wednesday, May 22, 2013
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Randolph Professionals Network Online Application

  1. To apply to the Randolph Professionals Network, please fill out the following form and submit for review. Someone will be in contact regarding your application. Required fields are marked with a star.

  2. First Name(*)
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  3. Last Name(*)
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  4. Company Name
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  5. Street Address
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  6. City
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  7. State
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  8. Zip Code
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  9. Telephone(*)
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  10. Email(*)
    Please let us know your email address.
  11. Fax
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  12. Website
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  13. Length of time in profession
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  14. Are you a member of the Asheboro/Randolph Chamber of Commerce?
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  15. Business Category(*)
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  16. Please provide a description of your business and the products and/or services provided
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  17. Please provide any additional information that you feel may be helpful to us in assisting your business
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  18. Who are your target customers?
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  19. Which group would you be interested in being a part of?
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  20. Please fill in the text as it appears.
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Upcoming Events

MAY
23

7:30 am - 9:00 am
Rye Barcott Leadership Seminar

MAY
23

2:00 pm - 3:00 pm
Social Media Safety for Parents and Children

MAY
25

10:00 am - 2:00 pm
Annual Pettyfest

MAY
25

5:00 pm - 8:00 pm
Sisyphus Saturday

MAY
25

6:00 pm - 9:00 pm
Southeast Summer Series 6

Click here to view our calendar...

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