Renewing Member Application

Member's Information

Name(Required)

First Last

Would you like to renew for another year?(Required)

Yes, I would like to submit my renewal application

No, I would not like to renew at this time.

Would you like to discuss your concerns with the membership committee?(Required)

Yes

What would you like to discuss?

Signature(Required)

Consent(Required)

PNA makes no guarantees to the Applicant. The submission of this Application does not guarantee the Applicant membership in PNA, nor does it guarantee the Applicant business referrals, business leads, or any monetary gain as a result of membership in PNA. PNA is a group designed to help members grow and gain confidence in their businesses and goals, but it cannot guarantee that an Applicant or future member will achieve any of these goals. PNA is only a supportive networking group, and it is not a business in and of itself designed for profit. Any monies it receives from its members are used to continue the goals of the group as a whole and its agreed-upon ventures, including but not limited to, group functions and meetings and public services.

I have read and understand the above and wish to submit my renewal application!

Applicant's Information

Business Name(Required)

Professional Title/Postion/Role(Required)

Cell Phone

Office Phone(Required)

Applicant's Email Address(Required)

Enter Email Confirm Email

Networking Memberships

Please list all networking groups in which you are a member.

Improving PNA

The following questions are designed to help add value to your membership and to improve the operation of PNA.

Recruiting New Members

Are there any positions or industries for which we can recruit to help you grow your business?

Suggestions

Do you have any feedback on the group that we can use to improve PNA?

Applicant Agreements and Understandings

I, the PNA Applicant, do hereby agree to the following statements upon submission of my application:

(Required)

I understand and agree that submitting my renewal application does not guarantee my membership in PNA(Required)

(Required)

I understand and agree that, if I am renewed as a member of PNA, I will treat all Members and visitors with respect and professionalism.(Required)

(Required)

I understand and agree that, if I am renewed as a member of PNA, I will pay the Membership Fee of $500.00/year.(Required)

(Required)

I understand and agree that the Membership Fee is non-refundable once paid.(Required)

(Required)

I understand and agree that, if I am renewed as a member of PNA, I will pay the quarterly meeting dues and that these dues are in addition to the annual membership fee.(Required)

(Required)

I understand and agree that payment of the Membership Fee and/or dues does not guarantee my continued membership in PNA and that my membership may be terminated for violations of the code of conduct and/or attendance policy.(Required)

(Required)

I understand and agree that the meeting dues are non-refundable once paid.(Required)

(Required)

I understand and agree that attendance is very important to building relationships and understanding each members business in order to pass quality referrals. I agree that I will attend each meeting, arrive on time, and stay the entire duration of the meeting. I will also actively participate in each meeting.(Required)

(Required)

If I cannot attend a meeting, I will send a substitute to represent me during the meeting.(Required)

(Required)

I understand and agree that I will actively work to give referrals to other Members of PNA and will promptly follow up on the referrals that I receive from other PNA members.(Required)

Signature(Required)

Renewing Member Application

Member's Information