Apply to Join a Business Roundtable

Name

Company

Number Of Employees

Address

City

Country

Office Phone

Email

Title / Role

Industry

State

Cellular Phone

Website

Please Provide Information On Your Specific Products / services

List Your Top Three Expectations of the Chamber's CEO Round-table

Current Challenges You and/or Your company are Facing :

Primary Goal of Participation :

Special Strengths and Skills you bring to a CEO Round-table :

Try of Round-table You Wish To Participate In :

 Sales

(limited to VPs of Sales and Sales Managers)

 Marketing

(limited to VPs of Marketing and Marketing Managers)

 Finance/Accounting

(limited to CFOs, VPs of Finance or Treasurers)

 Senior Leadership

(limited to COOs, VPs etc)

 Other