Membership Application - BPW Hastings & Prince Edward

Application Date

I hereby apply for membership in BPW Hastings & Prince Edward and agree to comply with the By-Laws of the Club (By-Laws can be obtained from the Membership Chair).

Leave space blank if you do not wish to give the information

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City Postal Code

Home Phone

Business Phone

Your Email Address(Required)

Business Phone

Occupation

Employment

How Did You Learn About BPW?

BPW Hastings & Prince Edward Website

BPW Ontario Web Site

BPW Canada Web Site

BPW Facebook Group

Member

BPW Event

Other

Check all that apply.

You Indicated above that you found out about BPW through a Member. Please let us know that Member’s Name:

You Indicated above that you found out about BPW at a BPW Event. Please let us know which event:

You selected 'other' above would you please specify:

Your Comments/Questions(Required)

BPW Hastings & Prince Edward year starts May 1 and ends April 30.

You may pay by e-transfer to [email protected] or by handing a cheque payable to Hastings and Prince Edward BPW to the Treasurer, Secretary, or President in person.

Membership Information:

Joining between May 1 – Dec 31: I will e-transfer $175 for current year’s membership to [email protected] or hand a cheque payable to Hastings and Prince Edward Business and Professional Women (also known as BPW H&PE) to the Treasurer, Secretary, or President in person. Membership renewal will be May 1 of the following year.

I am a Young BPW Member (35 years old or younger)

Signature

Date

BPW Hastings & Prince Edward Membership Application Form

BPW Hastings & Prince Edward year starts May 1 and ends April 30.

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