New Member Registration Form
Name
First Name
Middle Name
Last Name
E-mail
Business or Organization
New Member or Renewal
Please Select
New member
Membership Renewal
Is your company or organization covering the cost of your membership?
Please Select
Yes
No
Not sure
BWP has a limited number of scholarships to support new business owners, non-profits, and others who may need help to join BWP. Are you in need of a scholarship to cover all or part of your membership fee?
Yes, a portion
Yes, all
No, thank you
If you are in need of a scholarship, please describe why you should be chosen:
What other organizations are you associated with?
Why do you want to join BWP?
What do you hope to get out of your BWP membership?
What can you contribute to the members? Can you teach us? i.e. Marketing, public speaking, how to write a powerful bio, fitness, health, can we come to your location?
Please Select
Public speaking
Education
Financial Sales and marketing
Other
Please tell us more about what you can contribute to our members.
Are you interested in being a guest speaker at one of our events?
Please Select
Yes *A board member will reach out to you*
No, but I can refer someone or know a public speaker * A board member will reach out to you*
No
BWP members have access to a directory of member information on our website at: www.bwpocatello.org. The intent is to help encourage members to support their fellow BWP members and make members aware of services/products offered by other business women in Pocatello. Are you comfortable with us sharing the following information with other members?
Please Select
Yes
No
Name
First Name
Last Name
Organization/Business
Title
Email
example@example.com
Website/social links
Phone Number
Contact number
Registration Fees
prev
next
( X )
MEMBERSHIP REGISTRATION FEE
Thank you for joining Business Women of Pocatello! We empower, engage, and supplement the education of our members. Welcome aboard—we're thrilled to have you here!
$
75.00
Individual Membership
Corporate Membership for 3 members
Non-profit Membership
ISU Student Membership
Credit Card
Submit Form
Should be Empty: