Membership Application - Brockville Women`s Network

From The President
Hello my dear lady friends.
Your new Executive Team has met and we are gearing up for our new season.
lf
your
you complete and return to us before our opening meeting in September
name will be entered into a draw to receive a gift. Just as a reminder, our mailing
address is: Brockville Women's Network, P.O. Box294, Brockville, ON, K6V 5V5.
Please find attached a copy of our 2016-2A77 BWN Membership Application.
ln order to create our directory it is important we gather all your new
information. I would greatly appreciate knowing your decision regarding the
renewal of your membership {stitch i ne4vou @ hotma i l. com )
The line-up is looking good for our upcoming season. We are returning to the
Brockville Country Club and look forward to seeing you all in September. lt is
always wonderfulto sit and chat with friends
*
Joan
Membership Application
Brockville Women's Network
"Women
Su
pporting Women"
2AL6-2OL7 Membershi p Application
Mailing Address: P.O. Box 294, Brockville, ON, K6V 5V5
Website: http://brockvillewomensnetwo rk.com
See us on Facebook
One Year Membership 550.00
New Member:
_
Returning
Member:
Scholarship Recipient:
_
Honorary Member:
Previous BWN Committee Experience: (Ex. Secretary 1999-2001, Scholarship Committee 2OLA-2OL2)
Name:
Date Of Birth (MM/DD)
Address:
Postal Code:
Province:
City:
Telephone Numbers: Home
Cell
Business
Business or Place of Employment:
Special Dietary Needs
E-MailAddress:
Link of BWN Website (please provide Website Name):
Are you willing to allow your photograph to appear on the BWN website? Yes
Do you wish
/
No {please circle)
to receive a Hard Copy of the directory? Yes/No (please circle)
How would you like to be listed in the directory? Please circle one/membership
Accounting, Administrative Service, Advertising/Promotion, Animal Care, Antiques, Auctioneering,
Banking/Financial, Clergy, Community Services, Computer Services, Coaching (Consultant, Nutrition &
Lifestyle), Decorating/Design, Dental/Health, Dry Cleaning, Education, Fitness, Florist Funeral Services,
Gemology, Government, Hairstylist, lnsurance, Jewelry, Legal, Nursing, Optician, Painter, Photography,
Quilting, Real Estate, Restaurant/Food Services, Retail, Retired, Sewing, Transportation, Urban Planner/Project
Manager