DWF Yearly Registration Form

Please note: The dues you pay to the Dominion Womens Forum fund operational costs such as website maintenance, phone service, text reminders, printing costs and other organized activities throughout the year. The Dominion Women's Forum does not make any money for hosting our monthly luncheons or our Gala event. Proceeds from all ticket sales exclusively cover the expenses incurred for food and service at the various venues we hold our luncheons.
Name*

FIRST NAMELAST NAME
Name of Spouse (if applicable)

FIRST NAMELAST NAME
E-mail*
Cell Phone Number*

AREA CODEPHONE NUMBER
Address *

STREET ADDRESS

Street Address Line 2

CITYSTATE/PROVINCE

POSTAL/ZIP CODE
Please let us know if you are a new or returning member.*

I am new to the DWFI am a returning member to the DWF
We want to celebrate you on your birthday. Please let us when your birthday is--don't worry, we just need the month and day!*
Would you like to be added to our email list to receive newsletters and reminders?*

YesNo
Would you like to receive text reminders on your phone?*

YesNo
Can we add your information into the Membership Directory?*

YesNo
To finalize your DWF Membership, please select how you'd like to pay your dues.
How would you like to pay for your membership?

I can pay now.I would prefer to pay by check.

Please choose a membership level from the Drop-down menu box and then make your payment.

MembershipWe offer 3 different types of membership levels: if you are a returning DWF member from last year OR you served as a Past President, we are excited to offer you a discount. New members will pay the usual price of $60.00.

$45.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

To finalize your DWF Membership, please select how you'd like to pay your dues.

Payment Methods