Member Application - Power Business Networking

Power Business Networking Membership Application

Date
MM slash DD slash YYYY
Name*
First
Mobile Phone*
Business Name*
First
Business Phone
Industry
Classification
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website*
Email*
Upload Photo for member directory
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Please provide a clear photo of yourself for the member directory. Preferably one with white background.
Referred By*
Membership Info
2021 P.B.N. Membership Fee*
Price: $439.00
Payment Method*
Experience & Credentials
NOTE: You may attach a resume or biography for additional information.
1. Experience in Professional Classification (be specific):*
2. Length of time in Professional Classification:*
3. Education background in Professional Classification or Degrees, current Licenses or Credentials required to perform in Professional Classification (list school/state and/or business/state):*
4. Has your professional license ever been revoked or suspended? Yes No If yes, please provide details:*
5. Is the Professional Classification under which you are applying for membership your primary occupation?*
- Yes
- No
STANDARDS & EXPECTATIONS
1. Are you able and willing to make the commitment to attend the weekly meetings on time and stay through the entire meeting, and do you agree to abide by the P/B.N. Member Policies, Guidelines and Code of Ethics?*
- Yes
- No
2. Are you willing and able to send a substitute if you are unable to attend a meeting?*
- Yes
- No
3. Are you willing and able to bring referrals and/or visitors to this collaborative?*
- Yes
- No
Have you ever been a member of P.B.N.?*
- Yes
- No
5. Do you belong to other networking organizations?*
- Yes
- No
6. Have you ever been convicted of a felony?*
- Yes
- No
TERMS & CERTIFICATIONS
By submitting this Application, you agree to receive communications from or relating to Power Business Networking, and further agree that Power Business Networking may share your information and any other information and material you provide with other Power Business Networking members, affiliates, vendors, and third parties in order to provide you services as a Power Business Networking member.
ARBITRATION
All disputes arising out of or relating to this Agreement or the member’s participation in Power Business Networking, shall be resolved by binding arbitration in accordance with the laws of the State where the applicant’s Power Business Networking is located. The Arbitration shall be subject to the Rules of the American Arbitration Association. The clause encompasses any and all disputes involving Power Business Networking, its franchisee, and their officers, directors, employees, agents and representatives, as well as members, provided that the disputes pertain to membership or participation in Power Business Networking.
LIMITATIONS OF LIABILITY
Notwithstanding any other provision of this Agreement, any liability to you involving Power Business Networking, its franchisee, and their officers, directors, employees, agents and representatives for any cause whatsoever arising out of or related to this Agreement and/or membership or participation in Power Business Networking, and regardless of the form of the action, will at all times be limited to the amount of the annual membership fee paid by you for membership in Power Business Networking. Except in Jurisdictions where such provisions are restricted, in no event will there be any liability to you or any third person for any indirect, consequential, exemplary, incidental, special or punitive damages. No actions hereunder may be commenced unless brought within one (1) year of accrual.
TERM
All term fees are measured from the application date. Applications dated between the 1st and the 15th of the month shall begin their term on the 1st of the month. Applications dated after the 15th of the month shall begin their term on the 1st of the following month. Terms run one (1) year from the date the term begins.
CERTIFICATION
I hereby declare and certify that all statements contained in this application and any accompanying documents are true and correct, and that any misrepresentation or false statement may be grounds for rejecting my application or, if discovered after my application has been accepted, subject me to immediate termination at franchisee’s or Power Business Networking’s discretion without any reimbursement. I further understand that my membership is conditional and I agree, accept and will abide by all the terms and conditions set forth herein and those contained within the Power Business Networking Member Policies, Guidelines and Code of Ethics, all of which I have had the opportunity to review upon request or received upon induction. I acknowledge that breach of these terms, conditions, and policies shall be grounds to terminate my membership. I understand and agree that UPON ACCEPTANCE, FEES ARE NON-REFUNDABLE WITHOUT EXCEPTION.
Power Business Networking CODE OF ETHICS*
I agree to abide by the Power Business Networking CODE OF ETHICS
Upon acceptance to Power Business Networking, I agree to abide by the following Code of Ethics during the tenure of my participation in the organization.
1. I will provide the quality of services at the price that I have quoted.
2. I will be truthful with the members and their referrals.
3. I will build goodwill and trust among members and their referrals.
4. I will take responsibility for following up on the referrals I receive.
5. I will display a positive and supportive attitude.
6. I will live up to the ethical standards of my profession.
Professional standards outlined in a formal code of conduct for any profession supersede the above standards.

Power Business Networking Membership Application

Membership Info

Experience & Credentials

STANDARDS & EXPECTATIONS

TERMS & CERTIFICATIONS

ARBITRATION

LIMITATIONS OF LIABILITY

TERM

CERTIFICATION