Membership Application - Birmingham City Salesmen's Club

Member Application

We look forward to receiving your application for membership in the Birmingham City Sales Club. Please be note there is a $200 refundable application fee that will accompany this application.

Date of Application

Sponsor Member

First Name

Last Name

Social Security #

Are you a decision maker in your company?

Phone

Name of Business

Type of Business

Your Title

State in Detail Products or Services You Sell

Business Address

City

State

Zip

Office Phone

Cell Phone

Business Email

Home Address

City

State

Zip

DOB

Spouse

Hobbies

Name of Employer

City, State

Year From

Year To

Job Title

Name of Employer 2

City, State

Year From

Year To

Job Title

Name of Employer 3

City, State

Year From

Year To

Job Title

SALES, FRATERNAL, CIVIC AND SOCIAL ORGANIZATIONS YOU CURRENTLY BELONG:

Personal Reference 1

Personal Reference Phone 1

Personal Reference 2

Personal Reference Phone 2

Personal Reference 3

Personal Reference Phone 3

Credit Reference 1

Credit Reference Phone 1

Credit Reference 2

Credit Reference Phone 2

Credit Reference 3

Credit Reference Phone 3

Application Fee

The undersigned hereby certifies that the Information contained in this application is true and correct and was voluntarily given for the purpose of obtaining membership in the City Salesmen’s Club of Birmingham and additionally allowing the Club to obtain credit information on myself in order to evaluate this application for membership. In making application for membership In the City Salesmen’s Club, if admitted, I agree to abide by all the rules and regulations of the Club, to trade with the other members when possible and to be constantly on the alert to boost the business of other members. This application is accompanied by membership fee of $200.00 + $16.67 for each month remaining in the year ending June 30th. YOU MUST PAY YOUR APPLICATION FEE ON THE NEXT PAGE AFTER CLICKING SEND FOR THIS APPLICATION TO BE VALID

Member Application

Learn More About The Benefits Of Club Membership