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Your name:

County of residence:

Location of work:

Line of work:

If you have a location that we can use for our NAFE meetings, please indicate name of town and how often we can use it:

Phone:

EMAIL address:

URL of your business:

If you were a member of a NAFE local chapter,

a. what did you like about your experience?:

b. what didn't you like about your experience?:

Please list the top 3 priorities that would make this network successful for you. For example, expanding your business, learning, benefits/discounts, showcasing your business, marketing support, connecting with people, finding out about jobs/freelance/strategic alliance opportunities and other classified ads, etc.

Priority 1:

Priority 2:

Priority 3:

If you would like to assist with NAFE-Westchester in any way, please indicate here. For example, give presentations, facilitate workshops, solicit discounts from service providers, help with setting up meetings, submit articles, group administration, etc.

What presentation topics would you be interested in hearing?

What concerns, if any, do you have about joining our network? Any other feedback?

What time slot is best for you to attend meetings? Please indicate 'before 9am', '9-2', '2-6', 'after 6'.

How often would you like to attend meetings?