CEO & Management Roundtable Renewal

Name*
First Last
Company*
Title*
Email*
Phone*
Renewal Preference*
- I would like to stay in my current roundtable
- I would like to transfer to a different roundtable
**Roundtable groups meet in person on a monthly basis for 90 minutes unless otherwise specified by the chamber.**
What is one benefit you have received from participating in the Roundtable Program?
What is one change you would like to see in your group?
Please provide a list of topics you feel would be beneficial to discuss at Roundtable meetings
Is there anyone you would recommend to join the CEO Management Roundtable program? We would be happy to reach out to them.
CEO & Management Roundtable Program Participation/Confidentiality Agreement
Each participant of the CEO & Management Roundtable Program is required to sign the Participation/Confidentiality Agreement.
I agree to the following:
1. I, hereby agree to a commitment of my time, attendance, expertise and other requirements of the Grand Rapids Area Chamber of Commerce CEO & Management Roundtable Program. I understand that roundtable groups meet in person on a monthly basis and anyone missing two consecutive meetings or three overall will be asked to resign from their roundtable group and the seat will be opened up for new placement.
2. I, hereby agree that in order to maintain a level of trust and continuity, it is essential that all meetings and discussions within the group remain strictly confidential. I understand that none of the confidential information shared may be used to cause competitive injury or disadvantage to a participant.
3. I understand that the CEO & Management Roundtable Program is not a platform for selling my products or services.
This agreement with the Grand Rapids Area Chamber of Commerce is a commitment of my time, attendance, expertise and other requirements of the CEO & Management Roundtable Program.

To agree, simply enter your name and date in the section below after reading this consent.
Confidentiality Agreement signed by:*
First Last
Confidentiality Agreement signed on:*
Payment Information
Fee is $200 for the twelve month program period from April - March annually.

You must be a member in good standing of the Grand Rapids Area Chamber of Commerce to participate. Payment will be processed upon placement.

We will contact you at a later date to collect payment.
Name
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CEO & Management Roundtable Renewal

CEO & Management Roundtable Renewal

CEO & Management Roundtable Program Participation/Confidentiality Agreement

Payment Information

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