Membership Application
Please mail Membership Application to:
Membership Committee
Spokane Referral Network
5407 S. Lloyd
Spokane, WA 99223
MEMBERSHIP APPLICATION
SPOKANE
REFERRAL
NETWORK
New Member dues: $150 Renewal Dues: $100 Quarterly Dues: $5.00 per week
Please attach your busines card
Last Name: __________________________________________________________
First: ________________________________________________________________
Employer Name: _____________________________________________________
Employer Address: ___________________________________________________
Phone: _________________________ Fax: ________________________________
Email: ________________________________________________________________
Occupation: __________________________________________________________
Franchise Owner? Yes ____ No ____
How long in business? ________________________________________________
Date: _________________________________________________________________
Signature: ____________________________________________________________
Sponsor Name: _______________________________________________________
Inspection Report
- Are you willing to support each member of the group?
- By applying for membership in this group, you are asking its members to extend loyalty to you in the form of referrals. Are you willing to make the same commitment to other members?
- Do you understand that you are encouraged to invite guests to our meetings and encourage them to join?
- What types of businesses would you like to see represented in the group?
- What profession would you be able to refer to repeatedly because of your profession?
Date: _________________________________________________________________
Applicant Signature: __________________________________________________
Insector Signature: ____________________________________________________