DFW Retail Executives Association

New / Update Membership Form

Please choose the options carefully
New Membership	Update Membership

Title:

Name:

Company Name:

Company Website:

Email:

Address:

Address:

City:

State:

Zipcode:

Phone:

Fax:

Membership Type

Platinum Corporate 7 $2,000.00 includes hors d'oeuvres, wine/beer for 7

Gold Corporate 4 $1,200.00 includes hors d'oeuvres, wine/beer for 4

Gold Individual $195.00 includes hors d'oeuvres, wine/beer for 1

Basic Individual $50.00 + $25.00 per meeting for each additional meeting attended

Your membership will be confirmed by e-mail, which will include an invoice. The DFW REA currently accepts payment by check or money order.

For corporate memberships, please add any other joining members from your company in the fields below.

Member Name:
Title:
Email:
Phone:

Member Name:
Title:
Email:
Phone:

Member Name:
Title:
Email:
Phone:

Member Name:
Title:
Email:
Phone:

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