Chapter Name *
Report Submitted By *
Please select President Vice President Secretary/Treasurer
Your Name *
First Last
Your Email Address *
There are three ways a member is to be removed from the chapter roster.
1. The member drops their membership or chooses not to renew.
2. The Membership Committee terminated the membership.
3. The Membership Committee does not approve the member's renewal.
Member's Name *
First Last
Member DROPPED for the following reason * :
Please select Changed job Did not renew Left company MSP not completed Not enough referrals Not right fit with company Personal reasons Relocated Scheduling conflicts Takes too much time Transferred BNI Chapters
This allows the Regional Office to track the reason so that we can work to help with retention in the Region.
Membership Committee TERMINATED
the membership for the following reason:
Please select Attendance Code of Ethics Participation
*Notify your chapter Director BEFORE notifying the member.
Membership Committee DENIED RENEWAL for the following reason(s)
Lack of Participation Lack of Referral Given
Lack of Visitors Invited
Other
* Notify your chapter Director BEFORE you notify the member.
Effective Date of Member's Drop *
MM/ DD/ YYYY
Any additional information to provide the Director Team