Application for NAFE San Antonio Membership in 2016

1. APPLICATION FOR MEMBERSHIP
Please mail or email to: NAFE SA – Membership, PO Box 461506, San Antonio, Texas 78246 /
membership@weleadsa.org
NAFE SA Use Only ____/____/___dues collected by ( ) or ____/____/____PayPal pmt received ( )
Date Init Date Init
___/____/____added to database by ( )
Date Init
 New Member Application (complete entire app)  Renewal (complete name, level, and any changes from last application)
Name:
First M.I. Last
Company: Title:
Mailing Address:
Street City/State Zip
Home: Work: Cell:
Preferred contact method:  home  work  cell
E-mail: Website:
What is your industry or area of focus:  Government  Finance/Insurance  Banking/Accounting
 Legal  Communications  Publicity/Advertising  Manufacturing  Wholesale/Retail/Trade
 Education  Computer/Information Technology  Real Estate  Non-profit  Sales
 Medical  Entrepreneurial  Other:
MEMBERSHIP LEVEL
SURVEY
Are you already a member of NAFE?  Yes  No NAFE member ID:
Would you like to be listed in our NAFE Membership Directory?  Yes  No
Would you like to receive our FREE biweekly e-newsletter?  Yes  No
How did you hear about NAFE SA?
What assistance or information can NAFE SA offer to enhance your professional development?
Area of expertise you would be interested in sharing with other members (optional):
What meeting topics would be most beneficial to you? Check all that apply
 Networking  Marketing Strategies  Career Development  Work & Life Balance
 Technology Trends  Success Stories  Industry News  Time Management  Resume Writing
 Interview Skills  Other:
 Membership (includes 1 year of Pre-paid Discounted Luncheon Fees) $ 375.00 per year
 Membership – Membership Only $ 99.00 per year
 College Student $ 39.00 per year
Method of Payment:  Check (made payable to NAFE SA)  PayPal (electronic invoice)
 Credit Card

2. APPLICATION FOR MEMBERSHIP
Please mail or email to: NAFE SA – Membership, PO Box 461506, San Antonio, Texas 78246 /
membership@weleadsa.org
NAFE SA Use Only ____/____/___dues collected by ( ) or ____/____/____PayPal pmt received ( )
Date Init Date Init
___/____/____added to database by ( )
Date Init
Signature: Date:_____________________________