NBA Application - Community Service Partners

Needham Business Association Your Business Connection in Needham

COMMUNITY SERVICE PARTNER APPLICATION

Club/Organization Name _______________________________________________________________

Address_____________________________________________________________________________

Phone______________________Fax___________________Email______________________________

Contact Person and address for NBA mailings (if different from above)__________________________

___________________________________________________________________________________

Type of Club/Organization____________________________________________# of Members ______

Year Founded_______________

Please include the following information so that we may better serve you:

____Please list and link my club/organization to the NBA’s website www.needhambusiness.com

Email address________________________________Website address_________________________________________

Description of club/organization _______________________________________________________________________

________________________________________________________________________________________________

Desired category listing on www.needhambusiness.com (see website for category listings) ________________________

____I would like to discuss how I could become involved in the NBA.

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For NBA purposes only Application approved: __________ Date: _______________

Needham Business Association, 1492 Highland Avenue #6, Needham, MA 02492

For information about membership, contact Kathy Lewis, Membership Chair, at 781-444-1155

For general information about the NBA, contact the NBA Administrator at 781-444-7980