Please read the membership information carefully before submitting this application. Please fill out the application completely and press submit at the bottom to send it. You will be asked to sign your application at your first meeting. Or you can download a pdf that you can fill in on your computer and print to bring to a meeting. You can also request an application at your first visit.

Today's Date First Visit Date

NAME

NAME OF BUSINESS

ADDRESS

PHONE Email

WEB SITE

Service or product to be promoted through The Business Women's Connection (please describe in detail):

Is your profession licensed by any organization? Yes No
Are you licensed? Yes No N/A

Other services or products which might overlap with yours, causing a conflict of exclusivity:
Do you anticipate any difficulty with our attendance requirements? Yes (please explain below) No Attendance issues

Do you belong to any other networking groups or leads clubs in which exclusive representation of product or service is a benefit of membership? Yes No

I have read and agree to BWC's statement of purpose, pledge and rules and I would like to join The Business Women's Connection.

Submit this application Clear this form