BNI Member Lost or Replacement Badge Request

BNI MEMBER REPLACEMENT BADGE REQUEST

BNI Atlanta - Member Resources Tools
Use this form for:
- Lost or Replacement Badge
- Member Name Change
- Company Name Change
All Badge Requests are created on a as needed basis by BNI Atlanta. They are created and shipped once a month. Please do not request a badge if you are a NEW Member. All New Members Badges are automatically created and shipped.

If you have any questions, please contact the BNI Atlanta Regional Office at info@bniatl.com or 678.264.8708.
Reason for New Badge
Name on the Badge

First NameLast Name
Company Name
How you want it displayed on your new badge
BNI Classification / Industry
Type of Badge
Sponsor Recognition
BNI Chapter Name
BNI Chapter that was not listed
What is your chapter name
What YEAR did you begin BNI?
Type in a year (e.g. 2019)
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My Products

BNI Atlanta Replacement Name Badge$12.00

BNI Atlanta Member Replacement Badge

BNI Name Badge (NFC Enabled for BNI Profile)$14.00

This is a replacement badge for BNI Atlanta members that has Near Field Communication (NFC) capabilities. When your badge is place near your smart phone, your BNI Profile will appear on the phone with your contact information.

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

BNI MEMBER REPLACEMENT BADGE REQUEST

My Products*

My Products