BNI member directory information

Please take a moment and fill out the form below. The information you are providing will be displayed on your Business Listing page in the CT Valley BNI web site Member Directoy.

First Name (required)

Last Name (required)

Business Name (required)

Business Street Address

Business Address City/Town, State, ZIP

Business Email (required)

Do you want your email displayed on the website? (required)
YesNo

Business Telephone (required)

Business Fax

Business Website

Facebook URL

Linkedin URL

Describe your business (services/products you provide) (required)

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