BNI Member Company/Classification Change Request

This form is to be used for existing BNI members only.

Please provide the following information as it pertains to your new company and/or requested classification.

2. What is the reason for your company name change? *This question is required.

2. Which BNI Chapter are you a member of? *This question is required.

3. First Name *This question is required.

4. Last Name *This question is required.

5. Business Name *This question is required. Enter your new Business Name or current one if unchanged

6. Professional Classification *This question is required.Enter your desired seat or current one if unchanged

Category
Classification

7. Describe Your Product or Service *This question is required. (Please be specific)

8. Business Address *This question is required.

Street
City
Postal Code

9. Business Phone *This question is required.

10. Cell Phone *This question is required.

11. Website

12. Email *This question is required. This question requires a valid email address.

BNI Member Company/Classification Change Request

General Information