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The C12 Group

The C12 Group - East Carolina

Christian CEOs & Owners Building GREAT Businesses for a GREATER Purpose

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Ready to Join C12?

Thank you for your interest in joining the C12 Group, American's leading Christian business owner and CEO roundtable!

If you would like to begin the process of becoming a C12 Group member, please fill out the information. The Chair in your area will be in touch with you shortly.

Name

Company

Title

Address

City

State/Province

Zip

Phone Number

Email

Which of C12 Membership 7 Advantages are most important to you at this time (Check top 3)

Working "On" My Business

Christian Board of Directors

In-Depth Analysis of My Business

Accountability to the Group

Business Coaching

My Business as Ministry

Devotion and Prayer

Accountability to the Group

C12 Membership

Key Player Membership

Alpha Group Membership

Starting a C12 Group in my area

C12 Business Opportunities

Other (please describe below)

How did you become aware of C12?

AirTran Go Magazine

Amtrak Arrive Magazine

Attended a C12 Meeting/Event/Seminar

BizLife Magazine

Business Week Small Biz Magazine

Businessasmissionnetwork.com

By Faith Magazine or website

C12 Direct Mailer

ChristianBusinessDaily.com

Christian Focus Magazine

ChristianPost.com

Christian Professional Magazine

Christian radio

Crossmap.com

Fortune SB Magazine

Goodnewsline.com

Inc Magazine

Internet B2B Directory

Modern Contractor Solutions Magazine

Newsmax Magazine

Referral from colleague

Success Magazine

Television (FoxNews, CNN)

Web/Print Article (Fortune, WSJ, CNN/Money)

Web search

WORLD Magazine (print ad, classified, website or article)

Other:

(Enter Question)

Other Comments/Questions/Requests:

(Enter Question)

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