BTS Survey

Name*:

Address*:

City*:

State*:

E-Mail*:

Zip Code*:

Phone*:

Date of Birth*:

What would you like to gain from the group?*: (check all that apply)

Health and Fitness
Personal Growth
Travel
Cooking
Social Aspect
Financial Services
Business Networking
Other

How frequently would you like Blue Thong meetings?*:

Monthly
Weekly
Quarterly

What do you expect from membership dues?*: (check all that apply)

Newsletters
Product Discounts
Guest Speakers
Event Organization/Events, Conferences
Group Travel
Other

Why would joining this group appeal to you?

Are you interested in starting a BTS Chapter in your area?*:

Yes
No

How did you hear about BTS?

(if it is a newspaper or radio/tv station; please let us know the name and city where they are located)

Blue Thong Society