
An
association of alumni of New York University Stern School of Business
P.O. Box 3912|
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
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 dont 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.