Creative Leads, Exchanges and Referrals

CLEAR application

Please fill out form below to submit your application. Thank you.

You may also contact Diana Brettrager to discuss your membership application at the following:

Phone:  (520) 298-6700
Fax:  (520) 298-2080
Name of Business: 
City, State Zip: 
Contact number(s): 
Business hours
email address
Do you own your own business, if so, for how long:
How long have you worked in this industry:
Time in Tucson
Description of product or service
What is the price range of your services:
What are your five best leads
CLEAR members you could generate leads for:
Birthday (optional - month and day only)
I am applying for membership in CLEAR:
I have attended two consecutive meetings:  Yes  No
I have read and agree with the By-Laws of CLEAR:  Yes  No
I agree that I will represent ONE business through my membership Unless grandfathered status applies:  Yes  No
I agree to pay my dues before the 1st meeting of each quarter:  Yes  No
I understand that my membership may be revoked at any time by a majority vote of the members for:
Lack of attendance at meetings (no show or no call):  Yes  No
Lack of professionalism, courtesy or ethics:  Yes  No
Delinquent dues - not paid by the second meeting of the quarter:  Yes  No
Please accept my membership effective: