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FILL THIS OUT SO WE CAN INTRODUCE YOU TO REFERRAL PARTNERS

Complete this questionnaire and we will introduce you to professionals to create WIN/WIN Referral Partnerships.

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Question 1 of 8

Full Name?

Question 2 of 8

What is your occupation?

A

Realtor

B

Mortgage Originator

C

Real Estate Attorney/Escrow Officer

D

Financial Advisor

E

Estate Planning Attorney

F

P&C Insurance Agent

G

Accountant

H

Other

Question 3 of 8

What State/States do you work?

(Select all that apply)
A

Alabama

B

Alaska

C

Arizona

D

Arkansas

E

California

F

Colorado

G

Connecticut

H

Delaware

I

Florida

J

Georgia

K

Hawaii

L

Idaho

M

Illinois

N

Indiana

O

Iowa

P

Kansas

Q

Kentucky

R

Louisiana

S

Maine

T

Maryland

U

Massachusetts

V

Michigan

W

Minnesota

X

Mississippi

Y

Missouri

Z

Montana

AA

Nebraska

AB

Nevada

AC

New Hampshire

AD

New Jersey

AE

New Mexico

AF

New York

AG

North Carolina

AH

North Dakota

AI

Ohio

AJ

Oklahoma

AK

Oregon

AL

Pennsylvania

AM

Rhode Island

AN

South Carolina

AO

South Dakota

AP

Tennessee

AQ

Texas

AR

Utah

AS

Vermont

AT

Virginia

AU

Washington

AV

West Virginia

AW

Wisconsin

AX

Wyoming

Question 4 of 8

Are you the Branch/Sales/Area Manager?

A

YES

B

NO

Question 5 of 8

DESIRED ZIP CODE?

Question 6 of 8

What professionals would you like to be introduced to?

(Select all that apply)
A

Realtors

B

Mortgage Originators

C

R.E Attorneys/Escrow Officers

D

Financial Advisors

E

Estate Planning Attorneys

F

P&C Insurance Agents

G

Accountants

Question 7 of 8

IF THERE'S AN OPEN SEAT FOR YOUR PROFESSION IN A CORE7 NETWORKING GROUP CHAPTER. WOULD YOU LIKE TO BE INTRODUCED TO THE CHAPTER OWNER?  

A

YES

B

NO

Question 8 of 8

Do you want to start and lead a Core7 Networking Group Chapter?

A

Yes

B

No

Confirm and Submit