Apply for Membership in The Bucks

The Bucks Business Network Inc., is a business club made up of professionals and private business owners as well as executives from non-profit and government agencies. The purpose of the Club is to bring together progressive individuals interested in advancement for themselves and their business/organizations.

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* Required information.

Company Information:


Were you referred by a member of The Bucks? *
Date of this application * 1000
Your name *
Business Name *
Business Address * Street
City *
State *
Zipcode *
Telephone *
Email Address *
Year Business Started *
Year You Joined Business *
Number of Employees *
Type of business *
Description *
Upload a scan of your business card Scans must be .JPG or .PDF files no larger than 1 MB
List other businesses you are involved with *
List other business organizations you belong to *
List two business or trade references with telephone numbers *

Personal Information:


First name *
Last name *
Home address * Street
City *
State *
Zipcode *
Home phone number *
Mobile phone number
Alternate contact * Business partner, spouse or significant other
List personal membership in any organization
Sponsor's name and how you know them If you do not have a sponsor leave this area blank
Educational background
What can you bring to The Bucks Business Network?
What do you expect membership to do for you?
I agree to have myself and my company researched by The Bucks Business Network, Inc. for possible membership in the club. If accepted in the club, I agree to comply with the constitution, bylaws, rules and regulations of The Bucks Business Network, Inc. *