Membership Questionnaire

In an effort to provide the current Network Birmingham membership with a great Networking Tool, we are asking all members to complete a questionnaire.

Why should I complete the questionnaire?

By providing information on your line of work, goods, services or referrals offered and contact information, other members will know who to call when they need something in your field!

How do I complete the questionnaire?

1. Submit it online (see below).
2. Download a copy here (Word) and mail it to us at:

Network Birmingham
PO Box 59565
Birmingham, AL 35259

Please use this form to submit the questionnaire online.

Network Birmingham Questionnaire for Members and Guests
Date
Member      Non-Member
Name
Company
Describe your business:
Your position in the company:
Preferred Address:
City	State     Zipcode
Home Phone	Work Phone     Cell
Preferred Email Address
Web Address
How did you hear about Network Birmingham?
What do you expect from Network Birmingham?
What can you offer Network Birmingham?
Would you like to serve on a committee or be on the Network Birmingham Board?
Give some suggestions of programs you would like Network Birmingham to offer:
Give suggestions of something Network could do/change to make the organization better:
Tell us about your family (husband, children, grandchildren, and pets)
What other professional/networking organizations are you a member of? Give offices held if any.
What volunteer organizations are you involved in?
Tell Network Birmingham anything else you would like them to know.
If you are a GUEST---would you like to join Network Birmingham? Yes No Don't know right now
Network Birmingham bylaws allows visitors to attend two meetings before requiring them to join Network Birmingham. Thank you for completing our questionnaire! ________________________________________________________________________