BNF Rack Card APPLICATION FORM

BNF Rack Card APPLICATION FORM

National BNF can provide informationn/rack cards to members for use in promotion. The request should be received by the Executive Team at least one month prior to the event.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address (where to send the cards)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How will the cards be used to promote BNF?*
How many cards requested*
Date of the Activity*

MonthDayYear
Date
I am willing to pay the cost of shipping:*

YesNo
If you are willing to pay for shipping. Go here to pay $10 for shipping. https://www.baptistnursingfellowship.org/give.

Select "one time", designate the amount, select fund "use where needed most"
Applicant's Signature*
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty: