Membership Form
Central New York International Business Alliance
 _____________________________

We are pleased you have decided to join the CNYIBA.  Please fill out the following information.  Once we have received it, we will touch base with you to see if you have questions, you will be invoiced (see information about dues), and added to our membership list.  You will then have access to all benefits of the organization.
First Name:
Last Name:
Title:
Organization:
Email:
Phone:
Fax:
Regular Mail: 
I/my organization will pay dues as:
Tier 1 Large corporation ($250/year)
Tier 2 Small company/corporation (($100/year)
Tier 3 Entrepreneur / Sole Proprietor / Individual ($50/year)
Tier 4 Government / Non-profit / student (undergrad) (no cost)
Charter Member $1,000 (one time) -- we will contact you
  We would like help with: We can assist with:
Import or export to specific countries
(list specific countries)
(list specific countries)
Financial issues

Logistics issues
Customs issues
Getting paid
Marketing to international audiences
Background info on foreign markets (which ones?)
(list specific countries)
(list specific countries)
Business advice / assistance
Immigration issues
Other:
(list specific issues)
(list specific issues)
I would be willing to help with:
Finance Committee Membership Committee Education/Programs
Nominating Committee Grants Committee  
Comments or questions:

 
Submitting your information puts it in our CNYIBA database.  It will be
kept within our organization, and will not be disseminated or sold. 
Should an inquiry of interest to you be made, we will contact you directly,
and will not share your name or information without your permission.