Interested in becoming a member of Harford Business Network? Fill out an application by completing the form below! Please enable JavaScript in your browser to complete this form.Name: First, Last *Company Name *Company Address *Phone (Mobile) *Email *Position/Title *Years with Company *Industry *Years in Industry *Business Category (be specific, as this will determine your eligibility and lock out your competition) *What would be the main source of your referrals (personal contacts, business contacts, etc.) *How do you obtain referrals currently? *What do you expect from the group? *Are you willing and able to abide by the stated policies of the group? If no, please explain. *Would you be willing to serve on a committee? *How would you define networking? *I have read the stated policies of the Harford Business Network and have received a copy of the by-laws. I understand that I will be on a 30 day probation period once the membership approves my application. *YesNoIf after the probation period I do not abide by these policies, I understand I may be subject to removal and forfeit my membership dues. *YesNoAll HBN Members are required to also be a member of the Harford County Chamber of Commerce. *I am already a member of the ChamberI am not yet a member of the Chamber but am committed to joining immediatelyToday's Date *Dues are $100/yr. These are prorated based on your start date and are due once you application has been approved. Preferred method of payment: *Online (Paypal or Square)Credit CardCheckMessageSubmit