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WE Membership Application

Please complete the following application if you would like to join Women Entrepreneurs. If you have any questions, please contact our President, Barbara Champion at 299-0163.

Name *
E-mail Address *
Business Name: *
Business Address: *
City: *
State: *
Zip Code: *
Your Mailing Address Is The Same As Your Business Address: *
Mailing Address:
City:
State:
Zip Code:
Business Phone: *
Home Phone:
Cell Phone:
Fax Number:
Send WE Information To My: *
Web Site:
Write a description of your business to be used in the WE Membership Directory (50-word limit): *
Committees You Are Interested In Joining:
	Communications
	Community Outreach
	Fundraising
	Greeters
	Highlighter Coach
	Historian
	Hospitality
	Member Directory
	Programs
	Public Relations
	Reservations and Facilities
	Social
Membership Dues: *

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Please mail a check payable to Women Entrepreneurs to:

Women Entrepreneurs
P O Box 37037
Albuqerque NM 87176-7037

Thank you for your interest in Women Entreprenuers.