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INTELLENET LTD. MEMBERS ONLY ONLY INTELLENET Members may use this form in support of an Application. All others, email inquiries to intellenet@intellenetwork.org. Membership requires recommendation by an Intellenet Member. Possible candidates must have a mimimum of 10 years experience and meet all state/country licensing and business requirements, among other qualifications. Review INTELLENET By-Laws for more details. INTELLENET LTD. PROPOSAL FOR MEMBERSHIP FORM Approved July 8, 2004 Recommending Member Name:* Date: Recommending Member Email Address:* Telephone:* Fax:* Person Recommended: Name: Title: Company: Location: Telephone: Fax: Email Address: Mailing Address: How Known (Personal, Business, Both, Other)? How Long Known? Does Recommended Party meet all INTELLENET Requirements? (See By-Laws and Code of Ethics) Please provide a brief narrative explaining the following: Has the Candidate expressed a desire to be a member of INTELLENET? If the proposed member is located in an area where we have coverage, why would that member be an asset to INTELLENET? Are there any other factors you would like to mention? (i.e. Expertise, Specialties, Special Connections or knowledge). A Printable (HTML) Proposal for Membership Form is also available for those who wish to print out and either fax or mail their completed form. The online form is automatically forwarded to The Executive Director of  INTELLENET, James P.Carino by clicking on the "Submit Form" button above. NOTE: Those who choose to print the form must submit the completed form by either FAX to 1.800.784.2020 or by MAIL to INTELLENET Ltd., P.O. Box 350, Gladwyne, PA 19035. Thank you. INTELLENET P.O. Box 350 Gladwyne, PA 19035 Phone: 610.520.9222 or 800.784.2020 fax: 800.784.2020 email: intellenet@intellenetwork.org   © 1996 - 2008 INTELLENET  Updated: 5/2008