BWN Membership Application

YES! I want to join BWN.

Either print this page and mail it with your check to

Business Women's Network of Howard County
P.O. Box 2575
Columbia, MD
21045-2575

or use this form and PayPal to pay by credit card.

Annual Dues:

Student membership is $35 per year
Individual membership is $100 per year
Silver membership is $250 per year
Gold membership is $500 per year
Platinum membership is $2500 per year

Annual Meeting Pre-payment - all meeting, no need to RSVP for each meeting! - $320

Membership Type: Student Individual Silver Gold Platinum
(circle one)
$______Amount Enclosed

Individual's Name:_________________________

Company Name:_____________________________

Mailing Address:____________________________

__________________________________________

_________________________________________

Phone:_________________________________

Fax:___________________________________

E-Mail:_________________________________

Business Type:________________________________

I was referred to BWN by:_________________________
(name)

Business Women's Network of Howard County :: P.O. Box 2575 :: Columbia, MD, 21045-2575 :: (410) 740-0126

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