Membership Information You have selected the Life Member - Family (Person + Spouse) membership level. This is a special membership for you and your spouse Cost is $500 - One time payment No membership renewal fee required The price for membership is $500.00. Account Information Username Password Show Password Confirm Password Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). First Name Last Name Email Address Confirm Email Address Spouse First Name Spouse Last Name Spouse Telephone Spouse Email Full Name LEAVE THIS BLANK Already have an account? Log in here More Information Address Line 1 Address Line 2 City State Connecticut Massachusetts Maine New Hampshire Rhode Island Vermont Zip Code Phone Number Note: A Paid BANE Membership Entitles You (and Your Spouse, In Case Of A Family Membership) To Vote In Biennial Election/Selection Of Executive Committee Members And Other Referendums Of Changes To The BANE Constitution. Membership Fee Must Be Submitted For Each 2-year Term. Please Read The Below Statement To Ensure You Meet The Requirements To Be A BANE Member. I/We hereby apply for New/Renewal/Life membership of BANE I am/We are at least 18 years of age I am/We are legal resident(s) of New England I am/We are of Bangladeshi origin or heritage I confirm that all the information provided on this form is accurate and that by entering my/our full name(s) below, we are consenting to digitally signing this BANE membership application as if I/we am/are signing the document in writing. Applicant/Member Signature (Full Name) Spouse Signature (Full Name) Processing...
