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Member Registration

Use this form to register for a membership with Women In Business Connecting or download our .PDF application form. Membership runs for one year from the date you join. The cost for membership is $50.00.


You must attend at least one meeting before you are eligible to become a member of Women In Business Connecting.



Fields with a check mark are required.

First Name: * -
Last Name: * -
Username: i * +
E-mail: i * -
Password: i * -
Verify Password: * -
Phone Number: * +
Company: * +
City: * +
Postal Code: * +
Website: +

I agree to abide by the principles and policies of Women In Business Connecting. I agree to refrain from any form of discrimination, harassment, derogatory, illegal, or unethical conduct, and I understand that if I engage in such conduct, I will be asked to renounce my membership.

By submitting this application, I agree to the collection, use and processing of the personal information I provide to Women In Business Connecting for the purposes of administration, payment of my fees, and inclusion of my contact information in the members' directory that will be distributed to members of Women In Business Connecting.

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