MEMBERSHIP APPLICATION

(ONLY ONE PERSON PER APPLICATION)

CHAPTER OF APPLICATION *

PERSONAL INFORMATION

First Name *

Last Name *

Address *

City *

State *

Postal code *

Phone *

Email *

BUSINESS INFORMATION

Website

Organization *

Business Classification: *

Please complete with the appropriate responses for all of the following:

Does your profession require special licensing? *

Yes

Does your profession require special certifications? *

Yes

Does your profession require any special accreditations? *

Yes

Years in business: *

Who referred you to TEAM?

When is your next birthday?

Membership Plan: *

MEMBERSHIP OPTIONS:

FLAGSHIP ANNUAL MEMBERSHIP SUBSCRIPTIONS:

$97.00 + $50.00 / MO - ANNUAL MEMBERSHIP (PAID MONTHLY)

$497.00 - ANNUAL MEMBERSHIP

TEAM NAME BADGE ORDER

UPON APPLICATION APPROVAL TO A CURRENTLY ACTIVE TEAM CHAPTER, YOU WILL RECEIVE YOUR NEW MEMBER KIT COMPLETE WITH YOUR CUSTOM NAME BADGE.

COMPLETE YOUR CUSTOM NAME BADGE INFO BELOW WITH THE CORRECT SPELLING (28 CHARACTER LIMIT PER LINE)!

Name Badge - First Name & Last Name: *

Name Badge - Business Name: *

NAME BADGES HAVE WHITE BACKGROUNDS

WHITE AND LIGHT COLORED IMAGES AND FONTS (COMPANY IMAGES INCLUDED) MAY APPEAR LIGHT, FADED, OR CLOUDY.

PLEASE CHECK: *

I do agree that TEAM Referral Network is a professional networking organization and I shall hold TEAM Referral Network, TEAM Referral DFW, its franchisees, directorate and contracted agents harmless of any and all liabilities that may arise as a function of my membership as a TEAM Referral Network member. I understand that my application for an annual or biannual TEAM Chapter membership must be approved and accepted by the Membership Council of the chapter or the TEAM Chapter Director and I understand that TEAM Referral Network is an "at will" organization.

Signature *

Clear

PLEASE PRESS SUBMIT ONCE!

WE'VE ASKED FOR A LOT OF INFORMATION AND IT TAKES A MINUTE TO PROCESS EVERYTHING.

NEXT YOU SHOULD BE REDIRECTED TO A THANK YOU PAGE. WE'LL BE IN TOUCH..