BNI MINNESOTA & NORTHERN WISCONSIN
Visitor and Substitute Sign-In
Date: ______________________
americas • europe • africa • asia • australasia
WWW.BNIMN.COM
WWW.BNIWIN.COM
Name: _________________________________________________________________
Company: _____________________________________________________________
Profession: ____________________________________________________________
Address: ______________________________________________________________
City/State/Zip: __________________________________________________________
Phone: ________________________________________________________________
Mobile: ________________________________________________________________
Email: _________________________________________________________________
VISITOR
Invited by: _______________________________________
1st Visit 2nd Visit Application Pending: Yes No
Current BNI Member:
Yes No
Add Visitor to PALMS:
Yes No
Send Visitor Follow-up Email:
Yes No
SUBSTITUTE
Subbing for:______________________________________
NOTES: _________________________________________
_________________________________________________
Name: _________________________________________________________________
Company: _____________________________________________________________
Profession: ____________________________________________________________
Address: ______________________________________________________________
City/State/Zip: __________________________________________________________
Phone: ________________________________________________________________
Mobile: ________________________________________________________________
Email: _________________________________________________________________
VISITOR
Invited by: _______________________________________
1st Visit 2nd Visit Application Pending: Yes No
Current BNI Member:
Yes No
Add Visitor to PALMS:
Yes No
Send Visitor Follow-up Email:
Yes No
SUBSTITUTE
Subbing for:______________________________________
NOTES: _________________________________________
_________________________________________________
Name: _________________________________________________________________
Company: _____________________________________________________________
Profession: ____________________________________________________________
Address: ______________________________________________________________
City/State/Zip: __________________________________________________________
Phone: ________________________________________________________________
Mobile: ________________________________________________________________
Email: _________________________________________________________________
VISITOR
Invited by: _______________________________________
1st Visit 2nd Visit Application Pending: Yes No
Current BNI Member:
Yes No
Add Visitor to PALMS:
Yes No
Send Visitor Follow-up Email:
Yes No
SUBSTITUTE
Subbing for:______________________________________
NOTES: _________________________________________
_________________________________________________
Name: _________________________________________________________________
Company: _____________________________________________________________
Profession: ____________________________________________________________
Address: ______________________________________________________________
City/State/Zip: __________________________________________________________
Phone: ________________________________________________________________
Mobile: ________________________________________________________________
Email: _________________________________________________________________
VISITOR
Invited by: _______________________________________
1st Visit 2nd Visit Application Pending: Yes No
Current BNI Member:
Yes No
Add Visitor to PALMS:
Yes No
Send Visitor Follow-up Email:
Yes No
SUBSTITUTE
Subbing for:______________________________________
NOTES: _________________________________________
_________________________________________________
REV. 06.01.2015