| Community Bankers of Iowa (CBI)

Community Bankers of Iowa
Leaders of Tomorrow (LOT) Membership Application

If you prefer, download this form and submit via:
Mail: 521 E. Locust St. Suite 202, Des Moines, IA 50309
Email: cbia@cbiaonline.org • Fax: 515-453-1498

About LOT

* Indicates required field

Name *

First

Last

Title *

Bank/Company Name *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Membership Categories: Choose One *

$200 per year - Bank Members $275 per year - Affiliate Members (CBI vendors)

Call the CBI office at 515-453-1495 with questions, or if you would like to pay via check, credit card or invoice. CBI accepts Visa, Mastercard and American Express.

Your application will be reviewed by the current LOT Chair and/or Co-Chair.
You will be notified as to the status of your application and the approval process.

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Community Bankers of IowaLeaders of Tomorrow (LOT) Membership Application

Community Bankers of Iowa
Leaders of Tomorrow (LOT) Membership Application