CEO Roundtable Application

Join our CEO Roundtable Program
Thank you for your interest in the CEO Roundtable & Management Roundtable Program. Please keep in mind that by filling out this form you are not automatically placed in a table and your credit card will not be charged until placed within the program.

This program accepts ONLINE applications only. Please fill out and submit yours now.



  • Select the Roundtables you have interest in joining (select all that apply):


  • Fee is $75.00 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.

  • 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:
    1. 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.
    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 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.

  • Credit Card Information

  • (number on back of card)