Dallas IT Roundtable Online Application 1Applicant Information2Business Details Name* First Last Email* Receive Email Updates? Receive email updates? Phone*Company Name* Company Website Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your technology or business niche?*Please give a high-level description of your business.*What are your core offerings?*What is your target client profile?*How long have you been personally selling in the DFW market?*How do you define the term selling?*What are your current business networking activities?*What value do you seek from our group?*What's one thing we should remember about you?*Who referred you to our group?*PhoneThis field is for validation purposes and should be left unchanged. Δ
