BEA Associate Member Application Form
Welcome prospective member! We are very excited about your interest in the BEA. Please complete the form below so we can get to know you and your business a little better. Once we review, we will touch base with you about the upcoming meetings and other exciting BEA news! In the meantime, if you have any questions, please contact Mindy Taylor or 312-540-9300.
Contact Information
Name *
Business Name *
Phone Number *
Email *
Business Address *
Website *
Business Information
Industry *
Description of Business *
(specific services offered, number of staff, number of years in business, etc.)
BEA Member who nominated you:
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