MEMBERSHIP APPLICATION

YES! Please accept this application for membership in the Catholic Business Network of Central Virginia, Inc. Enclosed is a check for $ to cover annual membership dues.
    Make checks payable to CBNCV and mail to:
Catholic Business Network of Central Virginia, Inc.
P.O. Box 1126
Fredericksburg, VA 22402
Individual
(One Representative Only)...$50
Corporate Sponsored
(See Membership Categories Below)
  Group A: 2-10 employees
2 Representatives.............$100
Group B: 11-50 employees
3 Representatives.............$150
Group C: 51-100 employees
4 Representatives.............$200
Group D: 100+ employees
5 Representatives.............$250
 
Check the committee you desire to volunteer for:
Business Development
Communications
Fundraising
High School Initiative
Membership
Social

Name

:

Name Of Business :
Additional Business Representatives :
Address :
Daytime Phone :
Fax :
E-Mail Address :
Website :
Brief Description of Your Business :
Your Parish :
Referred By :

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