• Referral Group Application

    Please provide all information requested, including your personal and business biographies and two qualified professional references. Payment will be processed upon acceptance. For more detailed information, refer to the bylaws or call Jeremy Raley at (409) 838-6581.
    Format: M/d/yy
    Business Address
    Preferred Referral Group *
    Professional Business References (TWO required):
    By submitting this application, I acknowledge that I have received and agree to adhere to the by-laws of the GBCOC Referral Group and give permission for the GBCOC to include my email address on their website.
    Annual Investment: $120.00 per person/group (The $120 charge will apply to each group attended by your company.) And will be prorated for the first year of membership based on actual start date.
    One time Application fee: $30.00 Fees will be billed once applicant is approved by Referral Group leadership committee.
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