Pinnacle Forum Site

By becoming a Pinnacle Forum Partner, I promise to:

√ Use my sphere of influence in my community and our nation. Employ personal resources to transform lives, communities and our local and national culture.

√ Actively participate in a Forum and other Pinnacle Forum events.

√ Share the Good News of Jesus Christ with other influencers. Pray regularly for God to bless Pinnacle Forum’s Partners and their impact on our culture.

√ Keep any information or knowledge gained about any Pinnacle Forum Partner or participant confidential.

√ Acknowledge that I am a steward of God’s money and will contribute at least $1,500 per year or $125 per month to the Pinnacle Forum movement.

√ Not self-promote my business or organization to other Pinnacle Forum Partners, as well as refrain from using social media in a way that harms Pinnacle Forum.


By becoming a Pinnacle Forum Partner, I promise to: √ Use my sphere of influence in my community and our nation. Employ personal resources to transform lives, communities and our local and national culture. √ Actively participate in a Forum and other Pinnacle Forum events. √ Share the Good News of Jesus Christ with other influencers. Pray regularly for God to bless Pinnacle Forum’s Partners and their impact on our culture. √ Keep any information or knowledge gained about any Pinnacle Forum Partner or participant confidential. √ Acknowledge that I am a steward of God’s money and will contribute at least $1,500 per year or $125 per month to the Pinnacle Forum movement. √ Not self-promote my business or organization to other Pinnacle Forum Partners, as well as refrain from using social media in a way that harms Pinnacle Forum.
What we believe: (Click to read our Statement of Faith)
I agree to Pinnacle Forum's Statement of Faith *	Yes No
Confidentiality: Any information shared by a Partner or participant in a Forum, including the names of the people in the Forum, must be held 100% confidential.
I commit to 100% confidentiality, which I understand is forever *	I agree
I Meet At Least Four Of The Six Partner Requirements:
I am recognized as, or can communicate as a peer at high levels of leadership in my sector.	Yes
I am or have been in a senior management position of a company or organization within my sector.	Yes
I serve or have served on the board of, or participate at a high level of governance in an entity in my sector.	Yes
I am a recognized authority in my sector having contributed to growth or change by articles written, books published or talks given which have contributed to growth or change within my sector.	Yes
With personal phone calls I can convene a meeting of other Pinnacle Forum Partner type leaders within my community.	Yes
I have the ability, willingness and desire to steward the influence God has entrusted to me and to employ my time, treasure and talents to transform lives and culture.	Yes
Seven Mountains of Culture:
Selecting your seven mountain(s) will assist with more strategic connections and provide you with communications that align with your interests.
I am Most Passionate About the Following:	Arts & Entertainment Business Education Family Government & Military Media Religion Unknown
Personal Information:
Prefix
First Name *
Middle/Initial
Last Name *
Suffix
Birth Date	// (mm/dd/yyyy)
Home Address *
City (If outside US, type NA) *
State
Zip *
Country *
Territory
Address Type *
Mobile Phone *
LinkedIn URL (NA if no account) *
Opt-in To Receive Our Text Messages:
*SMS: Pinnacle Forum will send 4-8 text messages per month. Msg & data rates may apply per your plan. Text STOP to cancel any time.
Home Phone
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Alternative Email
Gender *
Married/Single *	Married Single
Spouse First Name
Spouse Last Name
Spouse Email
How You Learned About Pinnacle Forum:
Select an Option *	LinkedIn Facebook Found Pinnacle Forum's website Referral or Other Stewarding Your Influence Podcast
Please add other source here or person's name of who referred you *
Organization Information:
Organization (or NA) *
Title (or NA) *
Organization Address
City
State
Zip
Web Site
The Forum You Are Attending:
Name of Forum You Are Attending (or N/A)
Name of Forum Facilitator
Your Partner Donation Options:
Pricing Terms *
Please Create Your Login: *We recommend a strong password with at least 8 characters, a capital letter, number and special character.
Login Name *
Login Password *
Retype Password *
By Submitting This Form, You Are Signing Electronically:
I agree to the statements in my Partner Commitment form and that the information I have provided is honest and complete to the best of my knowledge *	Yes
My Electronic Signature (full name) *

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