Membership Applications

Membership Application Choices*

New Membership
Yearly Member Renewal

Date*

Name*

First Last

Business Name*

Type of Business*

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Business Phone*

Email*

Website

Business Product/Services Provided (Be Specific):*

Who Invited You to SoCal Referral Group?*

Please List One Business Reference:

Name*

First Last

Phone*

Email*

Background Check Authorization

Your Date of Birth*

Please type your name to authorize background check.*

By submitting this form, I authorize SoCal Referral Group to conduct a background investigation about me and the Business Name listed above.

Consent*

I agree to SoCal Referral Group terms and conditions.

1. By submitting the attached Application for Membership, you acknowledge and declare that all statements made are true and correct.
2. Any and all liability to you based on your membership in SoCal Referral Group shall be limited to, and shall not exceed the total amount of your paid annual membership ($200.00 first year; $150.00 - each year thereafter).
3. Weekly meetings are from 7:00 a.m. to 8:30 a.m., and members need to participate during the entire meeting.
4. Weekly attendance at SoCal Referral Group meetings is required, except in the case of a medical condition or excused absence as determined by the leadership team in their sole discretion.
5. If for any reason you cannot attend a weekly meeting, it will be necessary for you to have a substitute attend in your place to represent your business. Excessive absences will result in termination form our group. No refunds will be issued.
6. Membership is exclusive, and only one person from any particular business or profession is permitted to join SoCal Referral Group. For example: (A) Two different printers will not be permitted to join; only one printer will be allowed to become a member. (B) Although two lawyers may join, their business classifications must be different (two different estate planning lawyers will not be permitted to join).

Application

Please List One Business Reference:

Background Check Authorization

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