Bami-i (317) 278-4970
 


Membership Application

COMPANY INFORMATION 

*Name:    
*Address: 
*City:     *State:  Zip Code:   

*Phone :   Fax:      Cell:     

Key Contact Person:     Position: 
*E-Mail Address: 
*REQUIRED
MEMBERSHIP

$50 / year
 
Membership: The Membership provides for that person to be a member
of BAMI-I for one calendar year at a cost of $50 per year.

PAYMENT 
 
Check -  please make check payable to BAMI-I and mail to above address with form.
Send invoice and payment will be with in thirty days
MasterCard Visa Discover
Card Number    	Exp. Date      Card Zip Code