UNG - New Member Information Form

UNG - New Member Information Form

Welcome to the Uxbridge and Area Networking Group. There are so many benefits being a part of this network of entrepreneurs, business owners and company representatives. We are looking forward to networking with you, getting to know you and your business and watching your network and business grow! .
Please complete the form below to submit your application for a 1 year UNG membership.
Business Name *
Name *

First Name Last Name
Title
Owner, founder, president, account manager, etc.
Website
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Would you like your ADDRESS published on the UNG website & magazine?

Yes No
Email *
example@example.com
Would you like your EMAIL ADDRESS published on the UNG website & magazine?

Yes No
Phone Number

Area Code Phone Number
Would you like your PHONE NUMBER published on the UNG website & magazine?

Yes No
Would you like to subscribe to the UNG e-Newsletter?

Yes No
The UNG e-newsletter is sent out once a month and highlights our network meetings, speakers, member news and updates.

http://tiny.cc/ly2k9y
How many people are in your company?

1-4 5-10 10-20 20-50 50-100 100+
Industry
Business Description (Max 20 Words) *
This will be used online, in the UNG magazine, etc.
Which regions do you serve?
Durham, York, Peel Region, provinces, countries, etc.
Do you use social media? If so please select all that apply:

Facebook Instagram LinkedIn Pinterest Twitter You Tube Tumblr Snapchat
Let us know your social media links so we can follow you:
Please select your membership type:

1 Year UNG membership - $125+ HST
Would you like additional information on the following add-on's:

Digital Marketing Package - Starting from $75/year Networking Magazine ad (online/print) - Starting from $100 per issue Meeting Room/ Workshop space rental at UNG HQ - as low as $25 per hour Special media packages from local radio station, and community newspaper publications
Referral; How did you find out about UNG? *
Self-Introduction for e-Newsletter and Social Media: *
Introduce yourself to the UNG Network! Let us know about your and your business!
Please provide a photo we can use for our e-newsletter and social media

Browse Files

Cancel of
Please provide your company logo

Browse Files

Cancel of
Thank you for taking the time to fill out and submit this form, we are looking forward to getting to know you and your business this year!

If you prefer to submit your logo and photo through email or have any additional membership questions please contact Rachel Leslie through email at rachel@parachutevirtualservices.com.

With Kind Regards,

Annie Hardock
Founder & Chairperson
Uxbridge & Area Networking Group
Established in 1998
Tel.: 905-852-6686
Website: www.uxbridgenetworkinggroup.com
Email: networkinggroup@uxbridge.com

Co-Owner,
Abacus Uxbridge Inc. O/A ABS Abacus Brain Study
92 Brock St. W., Uxbridge
www.abacusuxbridge.com
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