Employees <5 5-10 11-50 51-250 251-500 >500
Annual Sales < $1 Mil $1 - 5 Mil $6 - 25 Mil $26 - 100 Mil > 100 Mil
Which membership benefits are most important to you at this time? (Check top 3)
Working "On" My Business
Christian Board of Directors
In-Depth Analysis of My Business
Accountability to the Group
Business Coaching
My Business as Ministry
Devotion and Prayer
Please indicate area of interest:
Business Owner/CEO Membership
Key Player Membership (CEO is current C12 Member)
Alpha Group Membership (<5 employees or $1M annual revenues)
Starting a Colorado C12 Group
Other (please describe below)
How did you become aware of C12?
AirTran Go Magazine
Amtrak Arrive Magazine
Attended a C12 Event or Seminar
BizLife Magazine
Business Week Small Biz Magazine
Businessasmissionnetwork.com
By Faith Magazine or website
C12 Letter or Postcard
ChristianBusinessDaily.com
Christian Focus Magazine
ChristianPost.com
Christian Professional Magazine
Christian Radio
Crossmap.com
Fortune Small Business Magazine
Goodnewsline.com
Inc Magazine
Internet B2B Directory
Modern Contractor Solutions Magazine
Newsmax Magazine
Referral from Colleague
Success Magazine
Television (FoxNews, CNN)
Web/Print Article (Fortune, WSJ, CNN/Money)
Web Search (Google, Yahoo, etc.)
WORLD Magazine or Website
Other: Indicate Below
(Enter Referral or Discovery Source)
Other Comments/Questions/Requests:
(Enter Question or Additional Information)
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