MEMBERSHIP

Application Form (Complete the form below to join NBMBAA)
 
First Name:   MI:
Last Name:
Gender: Male Female  
 
Birthday:               
 
Home Address:
Street/P.O. Box:
City: State:
Zip Code:
Home Phone:
Email:
 
Employer:
Office Phone:
Address:
Street/P.O. Box:
City:   State:
Zip Code:
Job Title:
Year Employed:
   
 
Employer's Primary Business: 
Job Function:
Sales Type:
Other Type:
   
   

Undergraduate School:

Name:
City:   State:   Class of
Degree:   Major:

Graduate School:

Name:
City:   State:
Class of :
Concentration:
Degree:
Other:

Please specify the local chapter committees you would like to work with:
(Number in order of preference)

Business Corporate  Community Development Fund Raising
Human Resources Membership Program
Public Relations Scholarship/Banquet Student Affairs

Membership (Please review the criteria for the three types of membership described below and check one.  Memberships are based on the calendar year.  Membership dues are paid annually, unless you are a Full Life or an Associate Life Member).

Full Member (Anyone with a MBA degree or other advanced degree - MS, MHA, MPA, or Ph.D., MSW, etc)
Full Member ($125) Full Life ($1,000)
Full Life Installment (3 annual payments of $350)

Student Member (Anyone actively pursuing an advanced management degree) Student Member ($60)

Associate Member (Anyone distinguished in business because of management or entrepreneurship)
Associated Member ($125) Associated Life ($1,000)
Associated Life Installment (3 annual payments of $350) 

Please state the chapter you want to join:
Type of Membership:
If renewing your membership, what year did you first join the NBMBAA?

Amount Enclosed: $ Date:

Signature:                                                                                   

Note:  You must print out confirmation form and mail to NBMBAA along with payment in order to officially join the organization. Alternatively you can pay online using our secure, fast and easy PayPal Account.