JOIN NCBMP! Complete the information below to begin your application process. *Required DUES   Associate Member - Regular Association Presidents, Executive Directors and Meeting Planners with one-year of experience and plan meetings on a regional or national level. $200   ASSOCIATION REGULAR MEMBER EXECUTIVE/MEETING PLANNER APPLICATION Select the organization type below Association Corporate Government Religious Fraternity Medical University Independent     *First Name: Middle Name: *Last Name: *Title:     *Company Name: *Company Address: *City: *State: AL AB AR AZ BC CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY *Zip: Website: *Business Phone   Business Fax: Cell/Mobile Phone: *Email    *Password   Please select a password which will allow you to access your Membership Profile online.     *Home Address: *City: *State: AL AB AR AZ BC CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY *Zip:     RESUME Current Position *Organization: Title: City: How long at this position:   Brief job description, including services supplied (if any):         Previous Position *Organization: Title: City: How long at this position:   Brief job description, including services supplied (if any):     Membership referred by: (NCBMP MEMBER)   Click "Next Step" to continue the application process ©2005 National Coalition of Black Meeting Planners, All rights reserved.