Preferred Suppliers Application

Preferred Suppliers are those that have products and services that can be beneficial to our members BUT the INDUSTRIAL ARENA is not your main focus.

* = Required Field

Choose the Chapter(s) you are interested in:
I am applying for (all that you will be working):*
- Select All
- Charleston Chapter
- Charlotte Chapter
- Columbia Chapter
- Greenville Chapter
- Spartanburg Chapter
Personal Information
Name*
First Last
Business Name*
Years with current company:*
Your Contact Information
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Business Website*
Your Email Address:*
Office Phone*
Mobile Phone*
Mailing Address: (where you can receive mail on a regular basis - business or personal) - type SAME, if same as business address above.*
Social Profiles
Linkedin Profile:
Facebook Profile:
Twitter Profile:
Other Social Media Profile:
Qualifying Information
Describe your target market, main products/services, and typical industries served:*
Company Annual Sales:*
Are you a member of any other networking groups? If so, which ones?
Describe your 3 biggest/best customers: * If you prefer not to list company names, describe the industry and products/services you provide.*
Describe your 3 biggest/best competitors: * If you prefer not to list company names, describe the industry and products/services you provide.*
What do you hope to gain from the Industrial Network Group?*
ING Agreements
I understand:*
- I agree to pay $100 start-up fee. (on-time)
- I agree to pay $300 annually. ($30/month with a year commitment.)
- I must attend monthly dinner/lunch meetings of the Chapter(s) I choose to be involved in.

Choose the Chapter(s) you are interested in: