NEWEST MEMBERS

Byron's South End

Every Tuesday at:
101 W. Worthington Street
Charlotte, NC 28203 (MAP)

Meeting Time: 7:00AM

NEW MEMBER APPLICATION

First Name *		Last Name *
Company *		Company Address *
City *		State/Province *
Zip/Postal Code *		Email *
Phone * Ext.		Mobile No. *
Fax		Website
What profession are you requesting to hold with this group? *
How long have you been with the company you are representing? *
How or from whom did you hear about us? *
Other clubs, group or associations that you belong to? *
Provide a BRIEF company description *
Company Logo * (please upload a JPG or GIF logo file - other filetypes arent supported)
By ticking this checkbox and submitting your application, you acknowledge the terms of the Membership Agreement. You agree that your membership is predicated on your attendance and participation, and understand the expectations the Board has of you to hold your profession in EAC.
Verification Code		Please type the code (letters/numbers) seen on the image to the left into the text box below. This verification code is necessary to prevent spam.