BNI Alberta South | Membership Application Form

Basic information

Please pay special attention to spelling as you enter the information below.

1. Which BNI Chapter are you applying to join? *This question is required.

Please specify the city in which this new BNI Chapter is forming: *This question is required.

2. Your First Name *This question is required.

3. Your Last Name *This question is required.

4. Email *This question is required. This question requires a valid email address.

5. Profession *This question is required.

6. Describe Your Product or Service *This question is required. This should be a brief but specific explanation. This will be part of your BNI Member Profile.

7. Business Name *This question is required. Please enter exactly as this should be shown on your BNI Member Profile or on your BNI Name Badge.

8. Business Address *This question is required.

Street
City
Postal Code

9. Business Phone *This question is required.

10. Cell Phone *This question is required.

11. Website

12. Your Personal Facebook Profile URL e.g. https://www.facebook.com/john-doe
We will invite you to a Member-Only Facebook Group.
Please be prepared to accept a Facebook friend request from Moji Ajele, BNI Alberta South Executive Director.

13. Your LinkedIn Profile URL e.g. https://www.linkedin.com/in/johndoe
We will connect with you on Linkedin

14. Who introduced you to BNI? We call this BNI Member your BNI Sponsor. If it wasn't a BNI Member, please leave blank.

15. I have a Certificate of Credit from when I was a BNI Member in the past *This question is required.* The Certificate of Credit is issued via email to Members who resign their membership more than a month before their renewal date.
Upon acceptance to the Chapter, please forward this Certificate of Credit to our Regional Office and you will be credited on your BNI Membership.