Membership Application (Page 1 of 2)

*READ THESE IMPORTANT NOTES BEFORE COMPLETING THIS FORM*

AFTER YOUR APPLICATION IS APPROVED, YOUR MEMBERSHIP DUES MUST BE PAID BEFORE YOU CAN TAKE ADVANTAGE OF YOUR MEMBERSHIP.


Once you fill out and submit this application, an electronic invoice will be issued which needs only a few clicks to submit payment securely online. Payment of membership dues by any other method, such as cash, check or PayPal can be arranged but must be completed before the application is approved and before visiting any Hub meetings. Hub meetings can only be attended once an application and payment of dues have been received.

By submitting this application, you agree to pay membership dues immediately upon receipt of our invoice and acknowledge that you cannot be included in any Hub meetings until your membership dues are received. You are also confirming that you will select a Home Hub within 60 days of making this application. Additionally, you acknowledge that renewal membership dues must be paid by the renewal due date on the invoice and that you face immediate suspension and possible cancellation of your membership if you do not make your enewal dues payment on time.

Renewal dates for applications accepted before the 15th of any month will be the 1st of that month in the following year. Applications accepted after the 15th of a month will be due on the 1st of the following month of the next year.

HUB CODE OF ETHICS – Hub members undertake to attend Hub meetings, communicate effectively, assist and promote other Hub members and provide professional and ethical services to any clients referred by them, and fully participate in the spirit of the Synapse organization.

Prospective members will complete this application and submit it for review.

The membership dues invoice issued must be paid before final approval of the application is confirmed.

Synapse will complete the approval process and notify the prospective member of acceptance.

The new member is then included in the members-only website area and Facebook members-only group, and an announcement will be made network-wide.

The Hub Leader announces new members at the meeting following acceptance.
Home Hub 
First Name *
Middle Name
Last Name *
Title
Company *
Industry
Date of Birth
Email *
Office Phone Number
Cellphone Number
Address Line 1
Address Line 2
City
State
Postal Code
If you were referred by a Synapse member or members, please enter their names here.
Briefly describe your product or services (be specific)
Asterisk (*) fields are required.