New Member / Renewal
Membership Application

SHASTA BUSINESS BUILDERS
Building Business is Our Mission

Application Process Please Read Carefully

A prospective member may attend two meetings as a visitor.
At the second meeting, prospective members complete this application and submit it to the Membership Committee.
The Membership Committee will screen, process and notify the prospective member of acceptance or non-acceptance before the next meeting.
The Membership Committee notifies the President.
The President announces new members at the meeting following acceptance.

NEW MEMBERS ONLY

Name

First Name

Last Name

Phone

(###)

###

####

Experience in Field / Occupation:

How long with Company / Occupation:

Education in Field / Occupation, Degrees, Licenses, Credentials:

What will you to bring to this chapter and what is your ability to bring qualified referrals or visitors?

Are you able and willing to make the commitment to arrive at our weekly meetings on time and stay 75 minutes, attend any necessary training, and accept SBB Guidelines and Code of Ethics?

Is there an individual in your company who would be able to attend should you be absent?

Do you belong to any other networking organizations?

If "yes" please list below.

APPLICATION / RENEWAL INFORMATION

Chapter Name:

Name:

First Name

Last Name

Business Name:

Business Address:

Phone:

(###)

###

####

Fax:

(###)

###

####

Email:

Type of Membership:

Describe Your Product or Services:

Who do we thank for inviting you?

First Name

Last Name

REFERENCES:

Name

First Name

Last Name

Phone

(###)

###

####

Name:

First Name

Last Name

Phone:

(###)

###

####

E-Signature:

New Member / RenewalMembership Application

SHASTA BUSINESS BUILDERSBuilding Business is Our Mission

Application Process Please Read Carefully

New Member / Renewal
Membership Application

SHASTA BUSINESS BUILDERS
Building Business is Our Mission