Women in Business Membership Application

Women in Business Membership Application

The Grand Valley Women In Business group is organized and hosted by the Fruita Area Chamber of Commerce. Members of Women in Business are NOT required to be current Chamber members, however complimentary Women in Business memberships are offered with Chamber Membership.
Date
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Business / Employer*
Job Title (optional)
What do you hope to gain from Women In Business? *
What types of events interest you? *
What topics would you be interested in learning more about regarding professional development?*
Would you be interested in learning more about a business membership with the Fruita Chamber?*

YesNot Yet
Please select which Membership you're interested in*

Complimentary WIB Membership (included in a FACC business membership)Standard WIB Membership - $50 annually
How are you interested in paying?

CheckCredit CardCashInvoice Me First

I agree to allow the Fruita Area Chamber of Commerce to contact me via email, phone, fax, or mail. I understand the Grand Valley Women in Business group is an annual membership, billed on a 12-month basis.
Signature
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