MEMBERSHIP FORM

Thank you for your interest in the CEO Council. We strongly recommend you first download and save our Membership Consideration form in PDF format. You may type your information directly into the PDF document, and save the file on your computer to avoid any potential loss of your answers. After completing this PDF document, you may transfer the information to our online form on this page and submit for consideration and payment, or email the information to ceos@tampabay.rr.com.
* Company:  
* First Name:  
Middle Name:
* Last Name:  
* Email:
* Password:  
Title:
Address:
 
City:
State:
Zip Code:
* Phone:  
Fax:
Website:
Headshot:
Birthday: /
Spouse/Sig. Other:
Executive Assistant:
Executive Assistant Email:
Executive Assistant Phone:
Business Description:
Business Category:
Total Employees: 2005:   
2006:   
2007:   
2008:   
2009:   
2010:   
2011:    (projected)
Gross Annual Sales: 2005:    mil.
2006:    mil.
2007:    mil.
2008:    mil.
2009:    mil.
2010:    mil.
2011:    mil. (projected)
Year Co. Founded:
Business Recognition:
Are you in other CEO organizations?:
Name your top business challenges:
What topics would you like to see addressed at future meetings:
If you were asked to be a "subject matter expert" with media or to speak to other CEOs, what would be your area(s) of expertise?
What has brought you to where you are today, as a leader and as a person? Where have you been before, what did you do then, and how does this differ?
What don't we know about you that others might be interested in knowing?
What are some of your challenges and opportunities as CEO? How have they changed over time? How did you overcome or meet them?
What motivates you to lead your company?
Please tell us an interesting story about your leadership experiences in less than 100 words.
How did you hear about the CEO Council?


UPCOMING EVENTS

September 16, 2010
FROM ENTREPRENEUR TO PROFESSIONAL MANAGER
Tom James, Chairman
Feather Sound Country Club
2201 Feather Sound Drive
Clearwater, FL 33762
727-573-5666
LUNCH; 11:30AM-1:30PM; THIRD Thursday

October 14, 2010
Innovation Drives Smarter Business
John L. Kennedy, Global VP of Corporate Marketing
Centre Club
123 S. Westshore Blvd.
7:00 AM - 9:00 AM

SPEAKER HIGHLIGHT

Tom James, Chairman
Raymond James Financial
September 16, 2010


Speaker Howard Hyden (left) and
Karen Arnold, former chair (right)
welcome new faces.
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