Become A Member

We’re a dynamic group of local business professionals, each representing a unique industry category—just like other structured networking groups, but with a warm, community-driven approach. Come experience the energy, connections, and collaboration that happen when passionate business leaders come together. Whether you’re looking to grow your business, form new relationships, or simply see what we’re all about, we’d be thrilled to welcome you.

If you’re interesting in becoming a member of Business Networking With Locals, please reach out to Tammy Jackson (717-994-8550) and schedule a time to visit the group.

If you’ve had a chance to visit the group and would like to apply, please fill out the application below.

If you prefer a hard-copy application, please click here to download a PDF.

Applicant Information

Full Name (Preferred Name) *

Business Name *

Position/Title *

Industry/Specialty *

Years In This Profession *

Years With Current Company *

Business Address *

Business Phone *

Cell Phone *

Email *

Website

Licenses Held:

Business Profile

Briefly describe your products or services: *

What distinguishes your business from others in your field? *

What geographic area do you serve? *

Membership Commitment

- Attend scheduled meetings consistently (3 absences in a rolling 6 months - substitutes always allowed)
- Provide and seek qualified referrals (at least 1 per week)
- Uphold integrity and ethical business practices
- Follow all guidelines as outlined by the group leadership
-Have a positive attitude

Professional Reference #1

Reference 1 Name *

Reference 1 Phone

Reference 1 Email

Reference 1 Relationship

Professional Reference #2

Reference 2 Name *

Reference 2 Phone

Reference 2 Email

Reference 2 Relationship

Professional Reference #3

Reference 3 Name

Reference 3 Phone

Reference 3 Email

Reference 3 Relationship

Additional Information

Have you ever been a member of a networking or leads group before? If yes, which group(s)? *

What are your goals for joining this group?

How did you hear about this group? *

Signature & Date

By submitting this document, you feel you can meet the Membership Commitment (noted above), and you agree that we may contact your references.

Type Full Name To Sign *

Date *