	Austin Executives Association
	BUSINESSES HELPING BUSINESSES INCREASE BUSINESS

Application

Application for Membership

Date:
Name:
Home Address:
Home Phone:
Business Name:
Business Address:
Business Phone:
Fax:
Email:
Web Site:
Spouse's Name:
Spouse's Employer:

Type of Membership Desired: Individual Business

Business, Trade, Occupation or Profession which you are applying to represent (including a 2-4 sentence description of the services your firm provides):

References:

Please list three references each for credit, personal contacts, and business contacts, including addresses and phone numbers.

I, by submitting this application to the AEA Membership Committee, hereby evidence my desire to become a member of AEA. I am prepared to appear before the committee and/or the General Membership to answer any questions about myself and my business. I have received and read the Bylaws of AEA and agree to abide by such laws. I fully understand that the "Member" (whether Individual or Business) is responsible for the monthly payment of dues and for regular and active attendance as required by the Bylaws. I understand that any one member in good standing may object, for any reason, to my application and that such objection being filed, either formally or informally, with the Board of Directors can prohibit my application from being approved. I further understand that I may not have the opportunity to know the nature of or respond to such objection and hold the Board of Directors and general membership harmless for any such objection.

You will be contacted to submit a check, made payable to Austin Fxecutives Association, for $60.00. If your application is not approved, $20.00 will be retained as processing fee and the balance will be refunded.