bni online™ Business Networking Event
The BNI Regional Office kindly requests that one member of the Executive Leadership Team complete this form at least eight weeks before your preferred date.
BNI Chapter Name *
Leadership Team Member Name *
Leadership Team Role *
Leadership Team Member Phone *
Leadership Team Member Email *
Event Coordinator 1 Name *
Event Coordinator 1 Phone *
Event Coordinator 1 Email *
Event Coordinator 2 Name *
Event Coordinator 2 Phone *
Event Coordinator 2 Email *
Preferred Event Date *
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Preferred Event Date (Second Preference)
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Preferred Director(s) Presenting
Business Networking Event Format *
Preferred Marketing Support (We encourage you to select all)
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