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Becoming a C12 Chair for Area Christian Business Owners

I would like to talk further with C12's VP of Development, Steve Hase, regarding the possibility of becoming a C12 Chair for my area. The information below is provided to help launch this process.

Name:

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Company:

Title:

Occupation/Background (brief description):

Address:

City:

State/Province:

Zip:

Direct Phone Number:

Email:

Prospective C12 Area/Region Desired:

I have experience in the following areas (check all that apply):

Business Ownership

General Managment

Business/Consulting

Coaching/Mentoring

Church Leadership

Bible Teaching

Evangelism

Business Turnarounds

Christian Accountability Relationships

CEO Peer Forums/Roundtables

Have Attended a C12 Meeting/Events

Small Business Start-ups

Personal Selling to Decision-makers

How did you become aware of C12?

WORLD Magazine

By Faith Magazine or website

Inc Magazine

Success Magazine

ChristianPost.com

Christian Professional Magazine

Internet B2B Directory

BizLife Magazine

Television (FoxNews, CNN)

Christian radio

Web search

Referral from colleague

C12 Direct Mailer

Attended a C12 Meeting/Seminar

Fortune SB Magazine

Amtrak Arrive Magazine

ChristianBusinessDaily.com

Business Magazine

Christian Focus Magazine

Newsmax Magazine

Businessasmissionnetwork.com

Crossmap.com

Goodnewsline.com

AirTran Go Magazine

Modern Contractor Solutions

Other

Other Comments/Questions/Requests:

So we fix our eyes not on what is seen, but what is unseen. We live by faith, not by sight. - 2Cor 4:18 & 5:7

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