An association of alumni of New York University Stern School of Business

P.O. Box 3912| New York, NY 10163  

WWW.THE-EXECUTIVEFORUM-NYU.ORG 

 Events Coordinator: cfeinstein.execforum@gmail.com

 

 

MEMBERSHIP APPLICATION 2008 - 2009

Dinner/Speaker Series

 

Please return the application along with a check made out to NYU Executive Forum, to the above address.

 

Annual membership dues and the series of six dinners *………………………. $300.00

Voluntary, tax-deductible contribution to our Stern Scholarship Program ….... ______

Guest fee ($65) for October 2 dinner only ** ………………………… ______        

Total amount of payment………………………............................................... $______

 

Include information as you wish it to appear in future issues of the MEMBERSHIP DIRECTORY. If you move or change companies, please notify the Events Coordinator immediately so that your most current information appears in our directory.

 

Please check which address to use for e-mail or postal mail - Business / Home
Name: _______________________________________________________________
Title:  ________________________________________________________________

Company: ____________________________________________________________

Address:   ____________________________________________________________

                _____________________________________________________________

E-mail-Address__________________Telephone # ____________________________

Fax #__________________
Home Address: ________________________________________________________
_____________________________________________________________________

E-mail-Address_______________________   Telephone # ______________________

Fax #__________________
Please indicate name of referring member:___________________________________

If not referred, how did you learn of our organization: ______________________________________________________________________

In order to contain costs, we would appreciate using only your e-mail for all correspondence. If you don’t have an e-mail address, we will send you paper mail.
I wish to receive all correspondence via e-mail ____ Please send me paper mail ____

 

*   if your application is not approved, your payment will be refunded promptly.

** if you are seriously interested in Membership but would like to attend one dinner first,

    you may pay a Guest fee of $65 which will then be applied to your annual dues, if you remit the balance ($235)

    by the conclusion of the October 2 event.