The undersigned, on behalf of the applying group, hereby applies for chapter affiliation as a subordinate 501 ( c 3 ) organization of Business Men's Fellowship USA, and for that purpose hereby agrees and affirms that:

1. All members of the applying group believe in and adhere to the 10 Point Doctrinal Statement (Constitution, Article I) and agree to the Christian Arbitration Agreement (Constitution, Article VII) per the New Membership Applications attached hereto. No future chapter members will be admitted who do not so believe in and adhere to the Doctrinal Statement and agree to the Christian Arbitration Agreement.
2. The group has adopted a resolution requesting affiliation with the Fellowship.
3. Duly completed and signed membership applications for all new members (with accompanying dues checks) and membership transfer forms for all transferring members are attached hereto and submitted herewith.
4. Should this application for affiliation be denied, or should this chapter's affiliation be subsequently canceled, it will discontinue the use of the name "Business Men's Fellowship USA" or "chapter" or any other name so similar as to be misleading.
5. The chapter shall be known as " Business Men's Fellowship USA of___________________________

   All stationery for the chapter shall clearly identify it as a chapter of Business Men's Fellowship USA.

Official Chapter Mailing Address:__________________________________________

Address_______________________________________________________________________________

City_____________________________________________________State________________________

Zip_______________ - ________________

Chapter President:

First Name___________________________________________________Middle initial____________

Last Name______________________________________________________________________________

Spouse Name_____________________________________________________________________________

Address________________________________________________________________________________

City__________________________________________________________State____________________

Zip__________________ - _______________

Home Phone(_______) - __________ - __________ Work Phone (_____) - __________- ___________

Fax Phone(________) - ___________ - ___________ E Mail Address_____________________________

Chapter Vice President:

First Name_______________________________________________________Middle initial___________

Last Name_______________________________________________________________________________

Spouse Name______________________________________________________________________________

Address_______________________________________________________________________________

City_____________________________________________________________State________________

Zip______________ - __________________

Home Phone (_____) - _______ - __________ Work Phone (______) - ___________ - __________

Fax Phone (______) - ________ - _________ E Mail Address_______________________________

Chapter Secretary:

First Name ___________________________________________________Middle Initial________

Last Name___________________________________________________________________

Spouse Name________________________________________________________________

Address_____________________________________________________________________

City_________________________________________________________State______________

Zip_____________ - _______________

Home Phone (____) - _________- _____________Work Phone (______) - ______ - _______

Fax Phone (_____) - _________ - ___________ E Mail Address______________________________

Chapter Treasurer:

First Name___________________________________________________Middle Initial _________

Last Name__________________________________________________________________________

Spouse Name________________________________________________________________________

Address______________________________________________________________________________

City______________________________________________________________State______________

Zip ________________ - ______________________

Home Phone (_____) - _______ - ___________ Work Phone (______) - ________ - _____________

Fax Phone (______) - _______ - __________ E Mail Address______________________________

Area Coordinator:

First Name__________________________________________________________________________

Last Name__________________________________________________________________________

Home Phone (_______) - _______ - ______________ Work Phone (_______) - ________ - __________

Area Coordinator Signature:_________________________Date_______

Instructions:____________________________________________________

Complete and mail with at least ten (10) New Membership Applications (and accompanying dues checks) and or transferring Membership Forms to: BMFUSA, National Service Center, 3824 Buell St. Suite A, Oakland, CA, 94619

Additional Contact Information:____________________________________

Phone 1 800 BMF 8981     Fax 1 800 BMF 9136      E Mail Bmfusansc@aol.com      Web Site: www.bmfusa.com

Office Use Only___________________________________________________

Assigned Chapter# ____Installed on Chapter DatabaseApproved by BoardGenerated & Mailed Charter

EIN ____________________ Notified chapter Other____________________________________