BEAM Corporate Membership Application

Corporate Membership Application
Select Application Type*

New MembershipRenewal
Organization or Company Name*
Board Representative's Name*

First NameLast Name
Board Representative's Title*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Fax Number

Area CodePhone Number
Phone Number*

Area CodePhone Number
Please Select Applicable Supporting Membership Fee:*

Society, school, or non-corporate entity $300Company: < 100 employees $600Company: 100-299 employees $850Company: 300-499 employees $1100Company: 500-699 employees $1600Company: 700-999 employees $3000Company: > 999 employees $5000
Sponsorship Opportunities
Select A Sponsorship Opportunity

BEAM Golf Tournament Fundraiser (choose sponsorship level below)BEAM Annual Volunteer Awards Breakfast (choose sponsorship level below)BEAM Club (choose sponsorship level below)
Please indicate in-kind support you are willing to provide this membership year:

Use of facilities for meetings or eventsTechnical leaders or other personnelOffice supplies/equipment/postagePrizes for fund-raisers, student awards, etcRefreshments for eventsBuses for eventsMaterials for student projectsFund-raising assistanceOther
Checks can be made payable to BEAM

Mail Checks To:

BEAM Buffalo

P.O. Box 162

Buffalo NY, 14205

Or submit a one-time digital payment:

Corporate Membership Application