Corporate Membership Application

Company*

Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Member 1 Name*

First Last

Member 1 Title

Member 1 Email*

Member 1 Phone*

Member 1 Date of Birth*

Member 1 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Member 1 Emergency Contact*

Member 1 Emergency Contact Phone*

Member 2 Name*

First Last

Member 2 Phone

Member 2 Date of Birth*

Member 2 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Member 2 Title

Member 2 Email*

Member 2 Emergency Contact*

Member 2 Emergency Contact Phone*

Member 3 Name*

First Last

Member 3 Phone*

Member 3 Date of Birth*

Member 3 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Member 3 Title*

Member 3 Email*

Member 3 Emergency Contact*

Member 3 Emergency Phone*

Member 4 Name*

First Last

Member 4 Phone*

Member 4 Date of Birth*

Member 4 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Member 4 Title*

Member 4 Email*

Member 4 Emergency Contact*

Member 4 Phone*

How did you hear about Network Outdoors?

Please check all areas of interest that apply:*

Are you interested in sponsoring events?*

Yes

Are you interested in participating in land/water/wildlife conservation efforts?*

Yes

Are you interested in participating in new hunter/angler promotion programs?*

Yes

AGREEMENT TO PARTICIPATE AND AUTHORITY FOR PRE-AUTHORIZED MEMBER PAYMENT**

I agree

Participation

I agree to attend a minimum of four (4) of the established events each calendar year. I fully comply with the policies and procedures of Network Outdoors. I give my consent to use photographs I may appear in to promote Network Outdoors through print, email, and internet social media channels.

Membership Fees and Dues

Company member agrees to a nonrefundable annual membership fee of $2,500. A portion of this will be used to pay for the Member Only Annual Trip Event.

Total monthly company member dues are $200 per month. This amount covers up to 8 registered individuals within the company. Dues will be collected electronically on a monthly basis.

I authorize Network Outdoors to charge the credit card indicated in the authorization form below. I understand that this authorization will remain in effect until I cancel it in writing and I agree to notify the business in writing of any changes in my account information or termination of this authorization at least 30 days prior to the next billing date. I certify that I am an authorized user of this credit card and that I will not dispute the scheduled payments with my credit card company provided the transactions correspond to the terms indicated in this authorization form.

Email: members@networkoutdoors.com

Annual Membership Fee*

Price:

Monthly Dues*

Price:

Credit Card*

Card Details

Cardholder Name

Not ready to commit? Give us just the info by clicking here and start the application process with no commitment and find out more about network outdoors.