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Reasons to Enlist
Membership
Ships
Ports of Call
News & Events
Christmas Gala Event
VIP Members
Admirals Club
Contact
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Membership Application
Please fill out all questions completely
SECTION 1: CONTACT INFORMATION AND BUSINESS INFORMATION
Date:
*
Business Website Address:
Chapter/Ship Name:
*
E-Mail Address:
*
Applicant’s Name:
*
Business Phone:
*
Business Name:
*
Contact Phone:
*
Business Address:
Fax:
City:
State:
ZIP:
Industry Represented:
*
SECTION 2: CREDENTIALS
1. Describe the product(s) and/or service(s) you will be marketing in The Networking Navy. Please be specific.
*
2. Experience in field/occupation. Please be specific
*
3. Education/background in your field/occupation, including degrees, licenses or credentials required by the industry.
*
SECTION 3: ADDITIONAL INFORMATION
1. Is the occupation under which you are applying for membership a full-time occupation?
*
Yes
No
2. How long have you been with the company?
*
3. Are you able to commit to arrive on time and stay throughout the entire 90 minute Meeting?
*
Yes
No
4. Is there any individual(s) who would be willing and able to attend meetings on your behalf should you not be able to attend yourself?
*
Yes
No
5. Are you willing and able to bring qualified referrals and visitors?
*
Yes
No
6. Please list any other networking organizations to which you are currently a member
*
SECTION 4: BUSINESS REFERENCES (List two not related to you)
1
Name
*
Job Title:
Business:
Phone:
*
2
Name
*
Job Title:
Business:
Phone:
*
I understand my membership is conditional and I agree, accept and will abide by all the terms and conditions set forth herein and those contained within The Networking Navy Policies.
Date
*
How were you introduced to The Networking Navy Professional Networking Group?
*
Who invited you to this chapter/ship?
MEMBERSHIP FEES
*
OPTION 1- Annual Payment Enclosed (Check, Cash or Money Order): $100.00
OPTION 2 - Annual Payment Online (PayPal via The Networking Navy Website): $100.00
Payment Options: Please check one below
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