JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Membership Chapter Transfer Request
Thank you for reaching out and requesting a chapter transfer. Please fill out the request below and it will be processed within the week.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Business Name
*
Your answer
Your email address your membership is listed under.
*
Your answer
Current Chapter
*
Your answer
New Chapter
*
Your answer
Reason for transferring your membership
*
Job related
Meeting Time/Day
Location is better for me
New Chapter Opening
Not a good fit
Other:
Required
If other, please let us know more.
Your answer
Would you like a member LBB leadership to reach out to you to discuss your transfer?
*
Yes
No
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Little Black Book.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
