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Company Information
Company
*
Location
*
Cuyahoga County
Geauga County
Lake County
Lorain County
Medina County
Other
Company Zip Code
*
Annual Revenue
*
<$1 Million
$1 Million – $5 Million
$5 Million - $10 Million
$10 Million - $25 Million
$25 Million - $100 Million
$100 Million - $250 Million
250 Million+
Number of Full-Time Employees
*
Business Category
*
Advertising/Marketing
Agriculture/Mining/Forestry
Architecture/Engineering/Construction
Communications
Distribution
Finance/Banking
Government/Public Administration
Hospitality/Restaurant/Hotel/Sports/Entertainment
Housing/Real Estate
Legal
Manufacturing
Medical
Non-profit
Retail/Merchandising
Technology
Other
Contact Information
First Name
*
Last Name
*
Job Title
*
Phone Number
*
Email Address
*
How did you hear about GCP?
*
Affiliate
Billboard
Broker
Call Campaign
COSE.ORG
Crain's
Direct Mail
Email
Insurance
Internet
Member Referral
Minority Event
Newspaper
Newspaper - not Crains
NOMBC
Other
Phone Book
Postcard
Prospecting
Radio
Referral
Search Engine
Social Media
Television
Worker's Comp
Workers' Comp Guarantee
Reason for interest in joining GCP
*
Supporting GCP Mission
Networking
Exposure
Other
Have you attended a GCP event(s) before?
*
Yes
No