NBMBAA NEW ORLEANS CHAPTER

HOW TO JOIN THIS CHAPTER

 

Please fill out the information sheet below. If paying by credit card, print out a copy of this membership application form, otherwise submit it and you will be billed. Membership is based on a calendar year. Any applications received after the month of August will only count for the follow year's membership and benefits. Dues must accompany the application. Membership dues are paid annually, unless you are a Full Life or an Associate Life Member.

PERSONAL INFORMATION

APPLICANT: Sex:

HOME PHONE:

ADDRESS:

CITY/STATE: ZIP CODE:


EMPLOYMENT INFORMATION

EMPLOYER: OFFICE PHONE:

ADDRESS:

CITY/STATE: ZIP CODE:

JOB TITLE: YEAR EMPLOYED:

MAIL PREFERENCE:

PRIMARY BUSINESS CODE:

If other, please specify

JOB FUNCTION CODE:

If sales or other, please specify


EDUCATION

GRADUATE

SCHOOL: CITY:

DEGREE: MAJOR:

CLASS:

UNDERGRADUATE

SCHOOL: CITY:

DEGREE: MAJOR:

CLASS:

CHAPTER JOINING: New Orleans


MEMBERSHIP TYPES

FULL MEMBER

Anyone with a MBA degree or other advanced degree (MS, MHA, MPA, MSW, LLD, JD, DBA, Ph.D., etc.)

STUDENT MEMBER

Anyone actively pursuing an advanced management degree (must include their current student I.D.)

ASSOCIATE MEMBER

Anyone distinguished in business because of management experience or entrepreneurship


 

If paying by credit card please print and fax:

Expiration Date: ________________________ Card No.: ________________________

Signature: ____________________________________________________