MEMBERSHIP APPLICATION

A prospective member must be from an open category and not conflict with any current member (see Business Categories for complete listing).
A prospective member must attend as a guest two out of three consecutive meetings before applying for membership.
Guest fees per meeting are $35.00.
An application for membership must be completed and signed, along with an authorization for a background check and include a $50.00 check for the application fee.
The application fee of $50.00, includes the fee for a background check.
Once references are checked, members are informed of the applicants request for membership and allowed to comment on the applicant.
The Board will vote on the applicant’s membership and if approved by the board, bring the applicant’s request for membership to the members at the next regularly scheduled meeting.
The Members at that meeting will be asked to vote on applicant and if unanimous, applicant becomes a member.
Quarterly dues must be paid by the next regular meeting.

MEMBERSHIP APPLICATION

Fields marked with an * are required

FULL NAME*
MAIDEN OR OTHER NAMES USED
BUSINESS NAME*
TITLE*

ADDRESS:

Business*
City* State* Zip*

Phone* Fax No. of Years There*

Home*
City* State* Zip*

Phone* No. of Years There*

Email Address*

CATEGORY:

Please describe your business*

What do you sell/what service do you provide?*

Describe an ideal referral for your business*

BACKGROUND:

How long have you lived in the Houston Area?*

List any other networking clubs or professional organizations of which you are currently a member*

Are you an owner of your business? YesNo

What Percent?*

Years in the business*

List two personal references:

Name* Phone*

Notes

List two business references:

Name* Phone*

Notes

Would you object to the membership committee calling the references you have listed?*NoYes

Have you ever been convicted of a felony?*NoYes

If yes, please explain:

Have you ever filed personal or business bankruptcy in the last ten years?*NoYes

If yes, please explain:

How did you learn about MIDTOWN BUSINESS NETWORK?*

Additional Comments:

Members are to be leading, qualified providers in their field:

each member must maintain the highest ethical standard in his or her field
produce a quality product or service and stand behind the work
resolve differences with other members before informing other members of the issue
be responsible for guests adhering to this same code of conduct
seek to enhance the professional credibility of the organization and its members
pay dues on time
maintain proper dress, manners, and etiquette
always deliver what you promise and only promise what you can deliver

I hereby apply for membership in the MIDTOWN BUSINESS NETWORK. I understand a background check will be conducted.
A $50 fee is due at time application is submitted.