Application for Membership





If you wish to apply for membership, please
 complete and submit the application below.

There will be a one time initiation
of $50 plus $125 in annual dues.

Business Name:
Business Address:
City: State: Zip:
Type of Business:
Applicant's Name:
Position or Title:
Business Phone :
E-Mail Address:
Brief description of your business:
What do you expect of this group?
What do you feel you can contribute to the group?

Who is your typical client?

Describe your ideal client?
Please note other groups you belong to.
Referred By:

     

CTPRG reserves the right to terminate any membership for questionable business practices that would not be customary or ordinary for your particular business or trade. CTPRG also reserves the right to limit their membership to one business or trade within the group.