BNI Member Lost or Replacement Badge Request

BNI MEMBER REPLACEMENT BADGE REQUEST

BNI Atlanta - Member Resources Tools
All Lost or Replacement 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 created using an BNI Atlanta's Application Log during the on-boarding process.

Lost or Replacement badges may be purchased using the form below.
Reason for New Badge*

Lost BadgeClassification Change
Name on the Badge*

First NameLast Name
IMPORTANT:

You are submitting this form because you have one of the following changes:
- Classification Change
- Tranferred to New Chapter
Your BNI member badge will be sent to the Chapter President with the monthly new member badges. If you need the badge quicker and sent directly to your address, then Select "Lost Badge" above. The fee will be $12 for shipping and handling.
Company Name*
How you want it displayed on your new badge
BNI Classification / Industry*
Type of Badge*
Sponsor Recognition*

I do not have 6 Sponsorships yetGold Member (6 Sponsorships)Double Gold Club (7-11 Sponsorships)Triple Gold Club (12-17 Sponsorships)Platinum Club (18-23 Sponsorships)Double Platinum (24-29 Sponsorships)Triple Platinum Club (30-35 Sponsorships)Diamond Club (36-41 Sponsorships)Double Diamond (42-47 Sponsorships)Triple Diamond (48-53 Sponsorships)Double Elite (60-65 Sponsorships)
BNI 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

Member Badge Purchase*

BNI Atlanta Replacement Name Badge$12.00

BNI Atlanta Member Replacement Badge

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