MEMBERSHIP APPLICATION- 2026

Women in Code Enforcement and Development is a non-profit organization which promotes the value and recognition of women in the arena of code enforcement and development. Our organization was formed in 2016 for the benefit of providing mentoring, advocacy and education to these women.

I am applying for membership as a:

Name

Job Title

Locality or Firm

Address

Telephone No.

Format: (000) 000-0000.

Fax No.

E-Mail Address

example@example.com

Please complete an application form for each individual member. This allows for better tracking of payments and receipts per individual.If mailing a check, please make check payable to WICEDof VAand mail with this application to:

Monica Whitney

ATTN: WICED of VA
Sussex County Building Inspections

P.O BOX 1397
Sussex, VA 23884

My Products

WICED of VA Membership

Annual Membership

$40.00

WICED of VA Student Membership

Student Members

$10.00

WICED of VA Associate Membership

Associate Membership

$45.00

WICED of VA Honorary Membership

Honorary Members as voted by WICED of VA Membership

Free

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Subtotal

Tax

Total

Payment Methods

Credit Card

ACH Bank Transfer