CNRG Chelmsford Application Chemlsford Chapter Home To apply, fill out the application below and we'll get back with you soon! Contact InformationName* First Last Company*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Membership InformationMembership Classification*Personal Membership (paid by the member)Company Membership (paid by a company)Member Type*NewReturningCompany Member Replacement ($25 Fee)Category Change ($25 Fee)Name of member being replaced:*Current category:*My official CNRG category is:*CNRG Sponsor Information*Your Sponsor is the member who introduced you to CNRG.Upload head shot:Membership Agreement* I will notify the chapter in advance if I am unable to attend a meeting. I agree to act and dress like a business professional. I will support each member in my CNRG chapter and strive to have them satisfy my business/individual needs. I will invite guests to meetings and encourage them to join. I will sponsor at least one new member into CNRG. I agree it is my responsibility to help grow my chapter. I understand that my membership may be terminated because of breach of ethics. I work full time in my official CNRG category. I agree to represent only one official CNRG category as it appears on my badge. If required, I maintain a current license, accreditation, and/or insurance deemed necessary to work in my category. I will conform to CNRG’s Bylaws, Rules & Procedures, and any subsequent changes. I understand I cannot belong to a similar networking group, tip or barter organization. I understand that members are expected to serve on the board or a committee. I fully understand my financial obligations regarding my annual and monthly membership dues. I have read and understand all the above statements and agree to abide by them Memberships renew on March 1st of each year. Members joining mid-year will have their first year dues prorated. Weekly meetings should be treated as a business meeting with your sales force. One excused absence per month is allowed and you may send a substitute in your place up to 4 times per year. Two unexcused absences in a row or excessive absents may be grounds for termination of your membership. Payment Terms* I have included payment in the form of check for my initial CNRG Membership Dues. Initiation fee $100, Annual Membership $120 (prorated based on date). All memberships renew March 1st of each year. (Please see Treasurer for actual total due based on date joining) Monthly dues of $10 per month can be paid in a separate transaction but if they are paid in full upon joining (Prorated until the following March) there is a 10% discount on the annual and monthly membership dues. (Please see Treasurer) How would you like to pay you dues?* Check Online How much are your dues?* Applicant Acceptance and SignatureMy signature below attests that I understand that CNRG dues are non-refundable and that I have read, understand and agree to abide by the CNRG’s Application Agreement (see attached), fee structure and program requirements. I also understand that if I resign from CNRG, or my membership is terminated by the board of directors or by a CNRG representative, my membership and renewal dues are non-refundable.SignatureDate* This iframe contains the logic required to handle Ajax powered Gravity Forms.