NABET Transfer Request Form

NABET Transfer Request Form

Use this form to submit transfer requests
Date of Transfer Request*

MonthDayYear
Date
Name of Member/Non-Member to be Transferred*

First NameLast Name
Current Status*
Will They Need New Membership Card?*

YesNo
AptifyID*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Local Member/Non-Member is Transferring FROM*
Local Member/Non-Member is Transferring TO*
Reason for Transfer Request*
Requesting Local Officer Name*

First NameLast Name
Requesting Local Officer Role*
Requesting Local Officer Email*
example@example.com
Are There Additional Staff or Officers in Your Local That Should be Copied on the Transfer Email?*
Additional Staff/Officer Email
example@example.com
Additional Staff/Officer Email
example@example.com
Additional Staff/Officer Email
example@example.com
*

I certify I am an officer of the requesting local specified and I approve this transfer being sent out for the aforementioned person.
FOR LOCAL RECEIVING REQUEST: Does Local Agree to Transfer?*
Initiation Fee Owed*
Back Dues Owed*
Additional Comments
Reason Local Does NOT Agree to Transfer*
Receiving Local Officer Name*

First NameLast Name
Receiving Local Officer Role*
Receiving Local Officer Email*
example@example.com
Are There Additional Staff or Officers In Your Local That Should be Copied on the Transfer Email?*
Additional Staff/Officer Email
example@example.com
Additional Staff/Officer Email
example@example.com
Additional Staff/Officer Email
example@example.com
*

I certify I am an officer of the receiving local specified and I approve/deny this transfer for the aforementioned person.
Timestamp
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