Membership form
BNG
BURLINGTON NETWORK GROUP
MEMBERSHIP APPLICATION
To the Board of Directors:
PLEASE CONSIDER MY APPLICATION FOR MEMBERSHIP IN BNG
Company Information: Date: _____________
Legal Name: _______________________________________________________________Years Incorporated:_______
Trade Style : _______________________________________________________________Years in Business:________
Address: _________________________________________________________________________________# of Employees: ________
City:_______________________________Province:___________________Postal Code:_________________________
Phone #:( )______________ Fax#: ( )______________ Web Site: www._______________________________
Business Description: _______________________________________________________________________________
Classification Requested : ___________________________________________________________________________
Owner Contact: ___________________________Title: ______________ E-mail: _______________________________
Home Address: _________________________________________________________ Phone# ( )______________
Alternate: ________________________________Title: ______________ E-mail: _______________________________
BNG References: ___________________________________________________________________________________
Other Business Reference: _______________________________________________ Phone # ( )______________
Other organizations do you belong to: _________________________________________________________________
__________________________________________________________________________________________________
Please include a business card, brochure/service information with this application
You allow BNG to confirm this information & contact your references.
Signature X _______________________
BNG
BURLINGTON NETWORK GROUP
The Burlington Network Group
is dedicated to helping our
members increase their business
We meet every other Wednesday
morning with the sole purpose of
getting to know and trust people in
businesses that we all need and use.
The BNG provides;
- Exchange of qualified leads
- Strategic alliances
- Dynamic guest speakers
- Great food and the best view in town
- Ultimately, more business for you
Special Social Events
- Summer BBQ
- Christmas dinner
You’re always welcome at the BNG!
Annual dues: $280 (includes breakfasts)
Wed 7:30 am @ the Water Street Cooker
Website: www.BurlingtonNetworkGroup.ca
Membership - Karene Nettel ~ This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Your Burlington Network Group Membership Contacts: