Membership Application Please indicate the membership desired and provide the information requested.   Annual Dues Individual $ 90 School $ 100 Parish $ 100 Corporate (1-10 Employees) $ 200 Corporate (11-100 Employees) $ 400 Corporate (Over 100 Employees) $ 600 Premier Sponsor $ 5000 Leading Sponsor $ 2500 Key Sponsor $ 1250 *Name (contact) Title Company/Parish/School Address City State Zip Code *Phone Fax E-Mail Parish of Member or contact CBN-MC Sponsor Date of Application Please provide a brief description of your business Please provide two yellow page type listing categories We invite your full participation in CBN-MC Committees: Please indicate your committee(s) of choice and provide your name and telephone number so the committee chair may contact you. Membership/Marketing Events Awards Banquet Communications Sponsorships Golf Tournament Board of Directors School-Business Partnerships Sports Luncheon Scholarship Luncheon Committee

P.O. Box 30104 - Bethesda, MD 20824 - Tel 240-577-1236 - E-Mail