Dallas / FortWorth REA Membership Form


Your Name:


Company Name:


Your e-Mail:


Address:

Address:

City:                                     Zipcode:
    
Phone:

Fax:

Company Website Link:

Membership Types:

Gold Club Corporate-7 ($1,600, includes meals; excludes golf)
Gold Club Corporate-4 ($1,100, includes meals; excludes golf)
Individual ($100 + $40/meal (1st meeting/dinner included))

 

Additional Members included in Gold Club Corporate Group (note, you do not have to invite the same attendees to each dinner - you are paying for 7 or 4 attendees of your choice):

Member Name:

Title:

E-mail Address:

Phone:


 Member Name:

Title:

E-mail Address:

Phone:
Member Name:

Title:

E-mail Address:

Phone:


 Member Name:

Title:

E-mail Address:

Phone:
Member Name:

Title:

E-mail Address:

Phone:


 Member Name:

Title:

E-mail Address:

Phone:
Member Name:

Title:

E-mail Address:

Phone:


 Member Name:

Title:

E-mail Address:

Phone: