B2N Membership Form


Organizational Information


Please note that all information provided may be shared via print, email, and online communication channels at the discretion of B2N.

Brief Description of Organization:

Type of Organization (active living, community planning, conservation, education, health):

Organizational Address:

Primary Telephone:

Email Address:

Website URL:

Facebook URL:

Twitter URL:

Other Social Media Contact Information:


Contact Information


Please provide us with some details about the primary contact that you would like us to keep in touch with at your organization.

Contact Phone Number:

Contact Email Address:

Address (if different from organizational address):

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