Membership Application
Business Information
Year Founded
Street Address City
State/Province Zip/Postal Code
Primary Phone Number Secondary Phone
Fax Number Email
Website http://www.
Type of Business
Family Member Information
In the following boxes please list the names of family members involved in your business:
  Name Position or Title
 
 
 
 
 
Niagara University's Family Business Center Value Statement

"We endeavor to share openly with one another conducting ourselves at all times in a professional and ethical manner. The Center is member-drive, avoids commercialism and solicitation of fellow members, and supports an environment of mutual trust." 
Applicant Information
I have read and agree to abide by the above Value Statement of the Niagara University Family Business Center:  
Name of Person Submitting this Application Form to the NU Family Business Center:
Business Title or Position in the Firm Represented in this Application:
Image Verification
Image Verification Code Verification Code
For security purposes enter the verification code as shown
   

Please note that there is an annual membership fee (per firm) of $500 payable to:
Niagara University Family Business Center
P.O. Box 1817
Niagara University, NY, 14109-1817
Applications with Visa & MasterCard please call Vincent Agnello at 716-286-8172
or by email at CBAcenters@niagara.edu