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Membership Form

PBN Professional Business Network
Your Network for Business Success

 

Fill out this online form to join PBN. Annual dues are $75 and you can pay by credit card after filling out this form or mail in a check.

If you would prefer to print out and fill in the form to mail in with a check, please click here.


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* Check here if you are a person

New Member
Renewing Member

Name:*
Company:*
Address:*
Phone:*
Fax:
Email:*
Website:

Business Category:

Business Description:

Business Designation (Select any that apply):
Corporation
Sole Proprietor
Partnership
Woman Owned
Minority Owned
LLC

How did you hear about PBN?

What are your objectives with PBN?

What types of programs would help PBN fill your business needs?

I'll offer the following discounts/specials to PBN members (optional)

How would you like to pay for membership?
Pay online with Credit Card
Mail in check

     

2010
Schedule of Meetings
Wednesdays

2010

March 3rd
Speaker

April 7th
Networking

May 5th
Speaker

June 2nd
Spring Fling

July 7th
Networking

August 4th
Networking

September 1st
Speaker

October 6th
Networking

November 3rd
Speaker

December 1st
Holiday Joy!

2011

January 5th
Speaker

February 2nd
Networking