change – BNI Alabama

What would you like to do?(Required)

Name Change

Company Change

Seat (Classification) Change

Your Name(Required)

First Last

Current Classification/Seat(Required)

Email(Required)

Company Name (Current)(Required)

Your BNI Role(Required)

Chapter Name(Required)

Is VP/Membership aware of change?(Required)

Yes

Reason for Name Change(Required)

Other Reason(Required)

Name Changes(Required)

First Last

Will your company change?(Required)

Yes

Reason for Company Name Change(Required)

Other Reason(Required)

Who Paid for Your Membership(Required)

New Company Name(Required)

Reason for Classification/Seat Change(Required)

Will your classification/seat change?(Required)

Yes

New Classification/Seat(Required)