Membership Form Membership Application Payment Information Pro Business Connections Application Agreement Membership Application Member Classification – (Choose One) Personal Membership (paid by member) Company Membership (paid by company) Chapter Name Centennials Chapter Green Valley Chapter Henderson Chapter Las Vegas Chapter Spring Valley Chapter Summerlin Chapter Vegas Valley Chapter First Name Last Name Middle Address City State Nevada Zip Code Company Name Website Email Address Office Phone Cell Fax Official Category will be: Pro Business Connections Sponsor – (Your sponsor is the person who introduced you to Pro Business Connections) Sponsor's Chapter Centennial Hills Chapter Downtown Henderson Chapter Henderson / Green Valley Chapter Las Vegas Chapter Spring Valley Chapter Summerlin Chapter I have included payment in the form of a credit card or check for my initial Pro Business Connections membership dues of $300.00 Payment Method Personal Check Company Check Master Card Visa AMEX Discover Check Number Name at it appears on the credit card Billing Zip Code CVV Code Exp Date My signature below attests that I have read and understand the policy and procedures of Pro Business Connections and agree to abide by these procedures listed on the back of this application. I further understand that the application and payment is my commitment and dues to Pro Business Connections is Non-Refundable. Full Name Date Prior to the application, the applicant must read and complete form. Once the form is completed, the application and payment must be turned in at that time. I agree to attend the Pro Business Connections New Member Networking workshop within the next 60 days of joining. I understand that if I miss 2 regular pre-scheduled meetings in any one quarter, my membership may be terminated. I will notify the Chapter’s President in advance if I am unable to attend. I understand that attendance at semi-annual community chapter events is expected and will make every effort to attend or notify the club President in advance if I cannot attend. I understand that I must act and dress professionally. I understand that I am expected to practice loyalty in the form of business referrals to each member in my chapter unless specific circumstances prevent my support. I understand I cannot be a member of a similar business referral group. I agree to provide 2 qualified business referrals to any member in my chapter each month or my membership may be under review for termination. I will notify the chapter President with any issues I have with the chapter or its members. I agree to help my chapter grow and to also invite 5 qualified guests to a meeting within the two months of joining. I am fully licensed in the field of business I am representing in my chapter. I work full-time in my business that I represent in the chapter. I agree to only represent the business category for which I am approved of in the chapter. I understand initial dues are $300.00 per year to join and renewable on my anniversary date. I have read and understand the above statements and agree to abide by them.