I would like more info about BNI

Drop Form

Please remove from our chapter membership.
Chapter *
Date *

Month Day Year
Date
Your name (Treasurer) *

First Name Last Name
Dear Treasurer:

Please use a descriptve actual reason.

Instead of "Non - renewal"; say "Retired" or "Lost job" or "Not enough referrals".
Instead of "Covid-19"; say "Lost job, or "Laid off", or "Sick with covid-19".

Any reasons concerning health might be best discussed with the BNI Office first;
we can help you decide resignation vs. medical leave.
Date *
Date mm/dd
Member *
First initial. Last name
Drop reason *
Date
Date mm/dd
Member
First initial. Last name
Drop reason
Date
Date mm/dd
Member
First initial. Last name
Drop reason
Date
Date mm/dd
Member
First initial. Last name
Drop reason
Date
Date mm/dd
Member
First initial. Last name
Drop reason
Submit this form to email to the BNI Office.
Should be Empty: