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PENNSYLVANIA #3 -I WANT TO JOIN THE GROUP - ROLODEX

Complete this questionnaire for membership in this Core7 Networking Group Chapter. You will be contacted by the group leader to discuss the exclusive seat OR you'll be added to the waiting list.

This questionnaire is also for the Core7 Chapter Rolodex if you are NOT a Core7 Professional. (Realtor, Mortgage Originator, R.E Attorney or Escrow Officer, Financial Advisor, Estate Planner, Accountant, or Insurance Agent)

You will be the only professional in your field allowed in the Core7 Chapter Rolodex.

Click the button below to start.

Start

Question 1 of 8

Full Name?

Question 2 of 8

WHAT IS YOUR EMAIL ADDRESS?

Question 3 of 8

Cell Phone?

Question 4 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 5 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 6 of 8

ZIP CODE?

Question 7 of 8

I'D LIKE TO BE A GUEST AT A CORE7 MEETING?

A

YES

B

NO

Question 8 of 8

TELL US ABOUT YOUR PRODUCTION & YOUR BUSINESS GOALS FOR THE CHAPTER ETC?

Confirm and Submit