Greater
Memphis Employee Benefits Council (GMEBC)
APPLICATION
FOR MEMBERSHIP
I
hereby make application for membership in the Greater Memphis
Employee Benefits Council. If accepted as a member, I agree to
participate fully in Council activities, to attend all Council
meetings, whenever possible, and to serve on official committees,
if so requested. The following data is submitted for your consideration.
Name:
|
Title:
|
Mailing
Address:
|
Business
Phone:
|
FAX
Phone:
|
Email
Address:
|
Present
Employer:
|
Years
of Employment:
|
Number
of Employees locally that your
company is responsible for benefits:
|
Number
of Employees nationwide that your
company is responsible for benefits: |
|
My
present duties and responsibilities with respect to employee
benefit plans my be summarized as follows:
|
|
|
| List
anyone you think would be interested in becoming a member
of GMEBC: |
Name:
|
Work
Phone: |
Name:
|
Work
Phone: |
Name:
|
Work
Phone: |
Signature:
_____________________________________________________ Date:
________________________