BPW - Membership Application


	Membership Application

Bozeman BPW Membership Application:

Name:

E-mail:

Address:
Street:

City, State:
Zip:

Phone:
Work: FAX:
Home:

E-Mail Address:

Company/Organization:

Job Title/Profession:

Why are you joining BPW & What committee would you like to join (www.bozemanbpw/org/committees.html)?

What are your other interests, hobbies, or organizational involvements?

Would you be interested in doing a membership profile at some point in the future?

Yes No

How did you hear about BPW?

Sponsor: optional

Membership Rates
Please check one:
Active Member $90
Student Member $33
Student Members are individuals enrolled in college or university, or any other accredited educational institution above the high school level.

submit this application on-line and mail your dues check to Bozeman BPW, P.O. Box 644, Bozeman, MT 59771.
or print out, fill in and mail this application with your dues check to Bozeman BPW, P.O. Box 644, Bozeman, MT 59771.
at this time there is no ability to pay by credit card.

Bozeman BPW is a nonprofit, nonpartisan organization devoted to achieving equity for all women in the workplace through advocacy, education and information.

Bozeman BPW
P.O. Box 644
Bozeman, MT 59771