Professional (Couple) Membership

Membership Application

Professional ( Couple ) Membership
Orlando Black Professionals
Professional (Couple) Membership:

This membership application is for married couples applying for a membership as a Primary member with a Spouse. Estimated 7 minutes to finish this application. Please, submit all required fields before application will submit successfully.
Name (Primary)*

First Name Last Name
Name (Spouse)*

First Name Last Name
Birthday (Primary)*

MonthDay Year
Date (21 & up)
Birthday (Spouse)*

MonthDay Year
Date (21 & up)
Anniversary (Optional)

MonthDay Year
Date (We would love to acknowledge your Anniversary)
Professional Industry ( Primary)*
Current or Previous Career
Professional Industry (Spouse)*
Current or Previous Career
Email address *
example@example.com
Email address (Optional)*
example@example.com
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Phone Number (2) Optional
Please enter a valid phone number.
T-Shirt (Primary) *
Select One Size
T-Shirt (Spouse) *
Select One Size
Group Travel Updates*
Travels are at additional Cost/ Not included in Annual Memberships Price
OBP Volunteer Opportunities*
Volunteer for Local Charities, Events or *More information*
Professional Couple Membership (Annual fee: $2,200.00)

Non-Refundable (Intiation Fee: $650)
Notes about individual membership privileges:
Our members get discounts on all programs and guaranteed entry into listed events.

* Movie Night 2023

*Masquerade Gala & Social 2023

*OBP Community Expo 2023

*Spring BBQ & Network Social 2023
Duration of membership

From (date of membership approval) to (date of membership renewal). Club memberships are renewed annually.
Should be Empty:

Membership Application