Event Submission

Today's Date *
MM / DD / YYYY
Name *
First Last
Email *
Phone *
### - ### - ####
BNI Region *
BNI Chapter Name *
Your Position *
Event Type:
Event Name: *
Event Details (This is what will show on the calendar when guest and members click for more detail on the event. ) *
Contact Person:
(Must be a Director Consultant) *
Location of Event:
(If same as Chapter Meeting just put SAME on first line)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Event Start Date *
MM / DD / YYYY
Event Start Time *
HH : MM AM/PM
Event End Date *
MM / DD / YYYY
Event End Time *
HH : MM AM/PM
Multiple Select *
Cost for Members
Cost for Non-Members
Max. No. of Attendees
Additional Information that Regional Admin may need to know.
Request that a BNI representative present at this event.

Executive Director

Area Director

Chapter Director

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