Register for Enhanced Networking

1. First Name(required)
2. Last Name(required)
3. Company(required)
4. Address(required)
5. City(required)
6. Province/State(required)
7. Postal Code/Zip Code(required)
8. Business Description(required)
9. Office Phone(required)
10. Mobile Phone(required)
11. Email(valid email required)
12. How did you hear about us? Please select Referred by friend or associate PTMC Event Other Networking Events Magnet Internet/Search Engine Received Email Somebody Called Me Biz Network News TV Radio Other (required)
13. Other
14. If you were referred by a friend please give us their name so that we can thank them.
15. Preferred Contact Method
    (to be used for 36 hour cancellations) Choose Office Phone Mobile Phone Email (required)
16. Do you carry an email friendly PDA?
    (ie. Blackberry) Choose Yes No (required)
17. PDA Email
18. How do we reach you in case of a last minute emergency?
    (Less than 24 hrs notice) Choose Office Phone Mobile Phone Email PDA (required)
19. The following will help us to determine if we should recommend a date change.
    
20. Current Working Affiliations
    (ie. Chamber Memberships)
21. Please tell us about any regular Networking Groups you are a member of:
    (ie. KW Chamber - First Monday of Every Month)
22. --------------------------------------------------------------
23. Monthly Membership fee is $10.00 inclusive of tax.
    
    There is a onetime registration fee of $36.75 inclusive of tax.
    
24. Individual meetings are $25.00 inclusive of tax and Gratuity.  Meetings will be billed at the time of booking.  There is no limit to the number of meetings you can have each month.
25. Want to save up to 40% on your annual membership fees? Choose 20% Discount – Please process an auto payment of 1 meeting per month (unused meetings will roll over to following month) 30% Discount - Please process my membership fee semi-annually and process an auto payment of 1 meeting per month (unused meetings will roll over to following month) 40% Discount - Please process my membership fee annually and process an auto payment of 2 meetings per month (unused meetings will roll over to following month) No Discount Please (required)
26. --------------------------------------------------------------

Payment Method

1. Credit Card Number(required)
2. Expiration Date(required)
3. Security Code (CVC)(required)
4. Name on Card(required)

1. Be a member of our affiliate program and earn $15.00 everytime one of your contacts signs up for any of the Please Take My Card programs (PTMC Online, Coffee with a Coach, PTMC Enhanced Networking)
2. Yes! Please contact me. No Thanks
3. If you have a promo code, please enter it here.
4. Verification
5. I agree to be bound by the Terms & Conditions.

 

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