The Jewish Business Network 
Application Form

Next event: Business and Bagels
The last Thursday of every month, at 7:45 AM.

To join us for an event either register to become a JBN member here, or if this is your first time, and you'd like to try it out before you join, please email and request a one-time visit. Otherwise, fill out the form below to become a member. 

Already a member? Click here to go to the members' RSVP page 

Hosted by the Chabad Jewish Center, 34 Cedar Street, Milford (map)

First Name    State  
Last Name    Zip Code  
Company Name    Email  
Position/Title     Phone  
 Address    Website(optional)  
 City    Fax

Business Type (optional)                             Business Description (optional)

To suggest a new category please email

Applying to:

Become a member of JBN: $72 Fee    
When you are accepted as a member, you will receive a confirmation letter and package. 
 I am just reserving for the next meeting.  (Members: no charge | non-members: $10)
If you are a member already, click here to RSVP.  (no charge)

I would like to be a Corporate sponsor: $250 per year
Includes 1 membership and one deluxe event sponsorship. (Email for details)


 I would like to host or sponsor an event for $125 per event (please fill in the details in this box):

Referral: How did you hear about the jewish Business Network and/or this event:  please explain:       

Have any comments or suggestions?
Please write them here:

I  would also like to be a: Corp Sponsor: $250 Patron: $500
  Supporter: $770  Other amount $

Payment Options:
VISA MasterCard American Express Discover
Card No.        
Card Expiration:  /  
Billing zip code:
  ccv code:
  Total amount to charge: $ 

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