Baltimore Neighborhoods, Inc. - Membership Request Form

BNI
Baltimore Neighborhoods, Inc.

To donate, become a member, sign up for our mailing list, or request more information:

NAME:
   First    Last

ADDRESS:
Street

City    State    Zip Code

OTHER CONTACT INFORMATION:
Phone (day)    Phone (evening)

Cell phone

Fax    Email

WORK/ORGANIZATION INFORMATION (optional):
Organization    Title

Street

City    State    Zip Code

Phone

Fax

E-mail

COMMENTS AND REQUESTS:

Yes, I support the goals and mission of BNI.

Add me as a member. Enclosed are my dues. (Please print and mail form if including membership dues.)
Enclosed is a donation. (Please print and mail form if including a donation.)
Add me to the mailing list.
Please send me an information packet.
I/We would like information on including BNI in my/our Estate Planning.

Comments:

For Contributions: Print a completed order form (your input will appear on the print-out). Mail your printed form with check or money order payable to BNI to: BNI, 2217 St. Paul St., Baltimore, MD, 21218

If you or your web browser have difficulty with this form, feel free to e-mail your questions or comments to tthomas@bni-maryland.org or call Toni Thomas at 410-243-4468.

You may also print the completed form and mail it to BNI at:
BNI
2217 St. Paul St.
Baltimore, MD 21218