MANAGERS
NETWORK

Overview

Structure
and
Process

Member's
Organization
Affiliation

Past Site
Visits &
Typical
Agenda

Membership
Information

Blank Membership Application Form

              First Name:

              Last Name:

              Title:

              Organization:

              Address 1:

              City:                                                      State/Prov:

              Zip/Postal Code:                                     Country:

              Address 2:

              City:                                                      State/Prov:

              Zip/Postal Code:                                     Country:

              Phone:

              E-mail:

              Years of Work Experience:

              Description of Work Experience:

              Comments or Questions:

This membership application form can be filled out and sent by regular mail or fax to:
Texas Center for Innovative Organizations
Jerry S. Rawls College of Business Administration
Area of Management
Texas Tech University
Lubbock, TX 79409
Fax: (806) 742-1346

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