Membership Application

We require payment of dues for at least one quarter with the submission of an application. Any application submitted without payment will be considered incomplete. If you are using this online application, please visit our Pay Dues Online page to submit your dues payment. In the event that your application is declined, your payment will be returned.

Submission of this form is your confirmation of the following statements: I understand that Step Ahead Networking groups are one per industry and that there may not be a spot for my business available in an existing group at this time. I have read and understand the Step Ahead Networking Rules. I certify that the information on this application is complete and true to the best of my knowledge.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Business/Company Name *

Company Address *

Company Phone *

Cell Phone *

Email *

Number of Years in Business *

Other Business Interests (if you have more than one)

Other Networking Groups – Indicate Past or Current

Favorite Charity

Other than direct business, what do you hope to get out of this group?

Full name of Reference 1, relationship and how long you've known them *

Phone number and e-mail address of Reference 1 *

Full name of Reference 2, relationship and how long you've known them *

Full name and e-mail address of reference 2 *

I would prefer to be part of a group that meets *

• at 7:30 am
• at 7:30 pm
• either time

Submit