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Contact Info
Mrs. Aubrey Bursch
Director of Parent Relations and Special Events Coordinator
301.657.4322 Ext. 403

 
* First and Last Name:  
* Business Phone Number:

1 - Would you like to be listed in the published SRBC Directory to be distributed widely?

YES  NO

If yes, please select preferences: 

Business Contact Information Only
Home Contact Information Only
Both

2 - Company Size:

Under $1M
$1M - $10M
$10M - $50M
$50M - $ 100M
$100M - $500M
Over $500M

3 - Would you be interested in speaking at a SRBC Events? 

YES  NO

Suggested Subject Area: 

4 - Would you like to work on a SRBC committee or project? 

YES  NO

Check Committee Interest:

PR
Membership
Programs
Other      

5 - What types of events or programs do you recommend SRBC do?

6 - One of the programs that SRBC may support in the future is the student membership program for the Upper School students; would you be interested in participating in such a program?

7 - SRBC wants to be responsive to its members, please tell us what do you hope to accomplish by joining SRBC?