CEO & Management Roundtable Renewal

First Name*

Last Name*

Company*

Email*

Phone*

Renewal Preference*

I would like to stay in my current roundtable
I would like to transfer to a different roundtable

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.

Each participant of the CEO & Management Roundtable Program is required to sign the Participation/Confidentiality Agreement.

CEO ROUNDTABLE PROGRAM PARTICIPATION/CONFIDENTALITY AGREEMENT

I agree to the following:

I, hereby agree to a commitment of my time, expertise and other requirements of the Grand Rapids Area Chamber of Commerce CEO Roundtable Program. I understand that anyone missing two consecutive meetings or three overall will be automatically dropped from their Roundtable.
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.
I understand that the CEO Roundtable 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, expertise and other requirements of the CEO 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:*

Fee is $200 for a twelve month session.
You must be a member in good standing of the Grand Rapids Area Chamber of Commerce to participate. Payment will be processed upon placement.