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Membership - Boston Chapter Membership Update Form

Complete everything on the form and then click the Submit button.

The Boston Chapter will update our local records when you submit the electronic form. Thank you!

First Name:   MI:
Last Name:

Gender: Male Female

Job Title:
Company/College:
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Email Addresses:

Work:
Home:

Business Address:

Address 1:
Address 2:
City:     State:
Zip Code:
Phone: Fax:

Home Address:

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Zip Code:
Phone: Fax:

Membership Status:
When did you become a member of the National Black MBA Association, Boston?
Month/Year (mm/yy): N/A

What type of membership do you hold?

Are you currently a financial member of the National Black MBA Association , Boston? (i.e. paid dues for year 2005)?
Yes No

Areas of Interest:  Please check all relevant boxes.  We are always looking for volunteers and welcome participation from all members.  For details about any of these events or committees, please check our web site's event page.
Future Professional Development Seminars:

Attend     Help Organize  Sponsor (You or Your Organization) 

Fund Development Committee:
More Information  Join Committee 

Leaders of Tomorrow Mentoring Program:
Join Committee  Sponsor (You or Your Organization) 

Scholarship Committee:
Join Committee  Sponsor (You or Your Organization) 

Destination MBA:
More Information  Join Committee 

Employment Network:
More Information  Join Committee 

Public Relations Committee:
Join Committee  Boston Black MBA Web site Development  Boston Black MBA Newsletter 

Executive & Management Development Institutes:
Join Committee  Enroll for program 

Cross-country Ski Lessons and Outing this winter:
Attend  Help Organize  Sponsor (You or Your Organization) 

Golf Lessons & Outing this coming Spring:
Attend  Help Organize  Sponsor (You or Your Organization) 

Economic Development Committee: