Full Name *

Business Name & Address *

Contact Information *

(Email, Phone, & Website)

Describe your product or service. *

What TEAM do you want to apply to? *

Enter required value A TEAM TEAM B2B Business Development TEAM Lead TEAM 3 TEAMWORK TEAM POWER

Where you referred by anyone? *

If so, who?

Which category are you applying for? *

Advertising, Media & Communications

Arts, Culture & Entertainment

Automotive, Aviation & Marine

Business & Professional Services

Computers, IT, Technology, Telecommunications

Contractors, Construction, Equipment

Family, Community & Civic Organizations

Financial, Investment Services, Insurance

Government, Education & Individuals

Health Care

Home & Garden

Legal

Lodging, Travel & Tourism

Manufacturing, Production & Wholesale

Personal Services & Care

Pets & Veterinary

Public Utilities & Environment

Real Estate, Moving & Storage

Restaurants, Food & Beverages

Shopping & Specialty Retail

Sports & Recreation

Transportation

Are you willing and able to commit to arriving at the meeting on time and staying throughout? *

Yes

No

Are you willing and able to comply with the TEAMs Rules & Guidelines? *

Our Rules & Guidelines can be found here. We recommend you download the PDF file and save it for your records. 

I agree to the Rules & Guidelines

I do not agree with the Rules & Guidelines

Will you send a company representative on your behalf when you are unable to attend a meeting? *

Yes

No

What value do you expect to gain from the TEAM and what can you contribute to the TEAM? *

What is your ability to bring qualified referrals or visitors to the TEAM? *

Do you belong to other networking organizations? *

If yes, please list the organizations. 

Our Membership dues are collected semi-annually and the pricing is as followed: *

• $200 every 6 months for morning meetings
• $250 every 6 months for afternoon meetings

I authorize the NACC to use my credit card on file to pay my TEAMs Membership dues that occur semi-annually.

* (Any outstanding balances over 60 days will incur a late fee charge of $35.00)

I agree

I disagree