CWN RENEWAL Membership Application

CWN Membership Renewal Application

Thank you for renewing your membership in CWN!
Name *

First Name Last Name
Company *
Please complete ONLY THE CONTACT INFORMATION BELOW THAT HAS CHANGED since last year.
Position
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail
Mobile Number

Area Code Phone Number
Work Number

Area Code Phone Number
Website
Please check which phone number(s) you want included in the online Directory *

Work Phone Mobile Phone
Code of Conduct *

By checking this box I understand the membership responsibilities and agree to abide by the Code of Conduct as described in the CWN By-Laws
Two annual membership levels are available:

General: $55/year includes scholarship donation and name & address included in the CWN website directory

Premium: $100/year includes scholarship donation, name & address included in CWN website directory, logo on CWN website, and one free annual spotlight for you via social media. Please upload jpg of your logo below.

***

Late Fee: $20 late fee will be required if membership is renewed after October 15, 2022
Your Membership Level *

General: $55 Premium: $100
Please upload a jpg of your logo if you renewed as a Premium Member

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CWN Membership Renewal Application