Nigerian Community Business & Citizens Service

Nigerian Community Business & Citizens Service

Membership Form
NigerianCBCS-VIP

Student membership (Annual fee: $20.00)
Description of this membership level’s qualifications and benefits.

Individual membership (Annual fee: $35.00)
Description of this membership level’s qualifications and benefits.

Corporate membership (Annual fee: $200.00)
Store owners, Manufacturers, Small Business Owners, and non-profit organizations.

Corporate sponsorship (Annual fee: $1,000.00)
For organizations and businesses that actively support our club and its mission. Includes everything covered under the corporate membership, plus promotion of your business's profile and logo on our website.
Membership level

Student membership (Annual fee: $12.00)Individual membership (Annual fee: $35.00)Corporate membership (Annual fee: $200.00)Corporate sponsorship (Annual fee: $1,000.00)
Individual member contact information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School (if applicable)
Phone Number
Please enter a valid phone number.
Corporate membership or sponsorship information (if applicable)
Business/Organization name
Website
Primary contact name
Primary contact email
example@example.com
Position
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional colleagues covered under corporate membership (list up to three)
Name

First NameLast Name
Email address
example@example.com
Name

First NameLast Name
Email address
example@example.com
Name

First NameLast Name
Email address
example@example.com
Emergency contact
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Duration of membership

From (date of membership approval) to (date of membership renewal). Club memberships are renewed annually.
Payment by credit card or PayPal
Should be Empty: