BCREI Business Membership Application

 

Please read the following agreement and fill out the form that follows:

 

BCREI Business Membership Agreement

 

 

I agree to the terms of the BCREI Business Membership Agreement, above (Enter '1',  if you agree):   

 

BCREI Business Member Name 

 

Business Address1 

 

Business Address2 

 

Business City 

 

Business State 

 

Business Zip 

 

E-Mail Address 

 

Website 

  

Phone #1:    - -            Phone #2:    - -

 

Name(s) of BCREI member(s) who can recommend you and/or your product / service: 

 

Description of product or service:

 

 

Up to two officers / employees can have membership badges and access to the email lists (first of these should be you!)...

 

First Person:

First Name:   

 

Last Name:   

 

Street1:   

 

Street2:   

 

City:   

 

State:   

 

Zip:   

 

Daytime Phone:    - -          Evening Phone:    - -

 

Email (which will be used to subscribe to announce and discuss email lists):

 

 

Second Person:

First Name: 

 

Last Name: 

 

Street1: 

 

Street2: 

 

City: 

 

State:   

 

Zip:   

 

Daytime Phone:    - -          Evening Phone:    - -

 

Email (which will be used to subscribe to announce and discuss email lists):

 

Please select your payment method:

Note: membership benefits, including discuss email list, do not start until payment received; use PayPal option if you want to activate sooner.

I would like to use PayPal to pay with Credit Card or Check on-line  (Note: You do not need to have a PayPal account to use this service.  Once you get to PayPal there is an area on the webpage to enter that you want to pay by credit card or check.  Most of the page is devoted to directing you to use a PayPal account.  You do not need to have a PayPal account.  Look near the bottom of the page to see the area that allows you to use credit cards, etc.)

I will mail in my application and payment (address will appear after 'submit')