Application Payment Page

PLEASE ONLY COMPLETE THIS PAYMENT FORM IF YOU HAVE ALREADY SUBMITTED A PAPER APPLICATION FORM TO THE MEMBERSHIP COMMITTEE.

ALL APPLICATIONS ARE SUBJECT TO THE APPROVAL OF THE CHAPTER MEMBERSHIP COMMITTEE. PAYMENT WILL BE RETURNED IF YOUR APPLICATION IS NOT APPROVED BY THE COMMITTEE

Please complete the form below where you will then be taken to a secure page to pay for your membership application.

Applicants Details

Please Note: Our secure payment partner, Sage Pay, requires an address as part of the booking. Please enter the card holder's address below, however the name and contact details should be those of the person applying. All fields marked * are compulsory.
You will still need to fill in an application form and hand in a hard copy to your chapter.

Chapter: *

Forename: *

Surname: *

Email: *

Participation Fees

Tick as appropriate	1 Year	2 Year
Registration Fee	£200	£200
Subscription	£615	£980
+ VAT 20%	£163	£236
Discount		18%
Total	£978	£1416

Billing Details

Address 1 *
Address 2
Town *
Postcode *

UPON YOUR ACCEPTANCE TO BNI, FEES ARE NON-REFUNDABLE

For full terms and conditions, please ask for a Policy Leaflet or go to www.bni.co.uk/policies

In addition to the above fees, members are expected to pay weekly meeting fees for the venue to the chapter

BNI is a marketing service of BNI Worldwide Development Ltd provided by independent regional franchise businesses