Membership Form To begin your STGPB membership, please complete the following form in detail. This will help STGPB determine which team leader will be most beneficial for you. You will be contacted by a team leader once your form is received. First Name* Last Name* Company Name Job Title Type of Business Address/P.O. Box City State Zip/Postal Code Country Email* Phone Number* Fax Website Team Leader Name (if applicable) Regular Availability (Specify Day and Time) Membership Payment Plan* Select PlanBronze Monthly($24.99)Silver Monthly($49.99)Quarterly($135)Annual($500) To help STGPB determine which team leader will be most beneficial for you, please complete the following fields. Select the top two areas where you and/or your business need the most assistance. BusinessFinancesLeadershipHealth & WellnessRelationships Do you travel outside of your town more than once a month for business? YesNo Provide some more detail about your business and the products/services it offers. Describe your strengths. Describe your weaknesses. Outline any goals you are working towards these next 12 months. [recaptcha]