FBLA Membership Form
Directions:
Print out this form
Fill out
ALL
the information - please print clearly
Dues are $12.00 (make checks payable to
Robert E. Lee FBLA
)
Return the dues and this form to your business teacher between September 15 and October 8, or February 2 and 16
Name
__________________________________
Home Phone
_____________________
Address
________________________________
City
_______________
Zip
__________
E-Mail Address
__________________________
Include my e-mail address on this web page
___ Yes ___ No
Business class enrolled through
_____________________
______________
______
Class
Teacher
Period
If you are in a semester class, what class do you have 2nd semester?
_________________
Grade Level
___
Date of Birth
____________
Recruited by
_____________________
(Names will be used for the
Membership Madness
promotion)