Primary Affiliate Application

Instructions

Primary Affiliate Business Partner

The one main point of contact at a business – the first person to join with a company.

$260 annually, pro-rated monthly ($104.17 Prorated for August - December 2024)

NOTE: After you've paid, you are welcome to start attending meetings and events.

Select An Option

Primary Affiliate $260 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Team NameOffice Name

Please select a valid membership option and fee item if exist